CAJ | 학술논문

位于上颈椎管内的脊髓是中枢神经系统中重要及脆弱的部分。由于其包含神经、血管结构，上颈椎骨性结构的完整性对生存和功能至关重要。由于上颈椎特殊的解剖位置及较大的活动范围，其易遭受不同方向的暴力。上颈椎损伤主要是指寰枢椎及其附属结构由于受到暴力导致骨折、韧带撕裂、脱位等。该文将介绍上颈椎各种常见的损伤类型、治疗原则、手术方式以及研究进展，为临床处理各型上颈椎损伤提供参考。
위우상경추관내적척수시중추신경계통중중요급취약적부분。유우기포함신경、혈관결구，상경추골성결구적완정성대생존화공능지관중요。유우상경추특수적해부위치급교대적활동범위，기역조수불동방향적폭력。상경추손상주요시지환추추급기부속결구유우수도폭력도치골절、인대시렬、탈위등。해문장개소상경추각충상견적손상류형、치료원칙、수술방식이급연구진전，위림상처리각형상경추손상제공삼고。
The spinal cord in upper cervical canal is an essential and vulnerable component of the cen-tral nervous system.The integrity of the upper cervical spine is essential for the survival and function ,because of the neurovascular structures contained in it.Due to its specific anatomical location,large range of rotation, upper cervical spine easily suffers from violence of different directions.The upper cervical spine injuries mainly refer to the fractures,torn ligaments,dislocation of atlantoaxial vertebrae and its accessory structures caused by violence.Here is to make a review of various common types of upper cervical spine injuries,as well as their treatment principles,surgical approaches and research progress,in order to provide reference for clini-cal treatment.