全脊柱骨折AO分型图谱.docx

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1、全脊柱骨折A0分型图谱ATLAS（一）寰椎Type IType IIType IllaType lllbType IVType V景港寰椎骨折。III型就是Jefferson骨折。Ib型伴有横韧带断裂，根据横韧带断裂部位，又分为Dickman 1 & 2型。1型需寰枢椎融合固定。2型可单椎节固定。IV型累及侧块关节，建议手术。（二）枢椎齿状突Anderson DlAlonzoType IAnderson DvAlonzoType IIAnderson DlAlonzoType III齿突骨折。I型罕见，保守愈合率100%。型愈合率54%-65%. I型在84%-96%o（三）枢椎椎弓中Trau

2、matic spondylolisthesis of C2Effendi Type IEffendi Type IILevine Type Ila（四）下颈椎Subaxial cervical traumaType ASubaxial cervicaltrauma type AOSubaxial cervicaltrauma type A1Subaxial cervicaltrauma type A2Subaxial cervicaltrauma type A3Subaxial cervicaltrauma type A4Type BSubaxial cervicaltrauma type B

3、1Subaxial cervicaltrauma type B2Subaxial cervicaltrauma type B3Type CSubaxial cervicaltrauma type CA型压缩，B型牵拉分离，C型旋转/脱位。A0 ,只累及附件。A1 ,楔形压缩,无椎体后壁骨折,累及单/双侧终板。A2 ,冠面劈裂，钳夹型。A3 ,不完全爆裂,累及单侧终板。A4 ,完全爆裂，累及上下终板。B型张力带结构损伤。多累及一个运动单元。B1 ,前后均损伤，经典的Chance骨折。B2 ,后方结构过屈损伤。B3 ,前方结构过伸损伤。B型很可能转变为C型。（五）胸腰椎Thoracic and l

4、umbar traumaType AThoracic and lumbartrauma type AOThoracic and lumbartrauma type A1Thoracic and lumbartrauma type A2Thoracic and lumbartrauma type A3Thoracic and lumbartrauma type A4Type BThoracic and lumbartrauma type B1Thoracic and lumbartrauma type B2Thoracic and lumbartrauma type B3Type CThorac

5、ic and lumbartrauma type C（六）舐尾椎Type CSacral trauma type A1Sacral trauma type A2Sacral trauma type A3Type BSacral trauma type B3Sacral trauma type COSacral trauma type C1Sacral trauma type C2Sacral trauma type C3景港A1 ,舐尾椎压缩、撕脱骨折。A2 ,能骼关节以下无移位的横断骨折。A3 ,移位明显，易出现神经症状。B型，单侧纵行骨折。B1 z Denis III区z中央椎管z少有神经症状。B2 , Denis I区，影响能骼关节。B3 , Denis II区，椎间孔区域。CO ,无移位U型骨折。C1 , B型骨折合并L5/S1损伤。C2 ,双侧B型。C3 , H型/移位U型。