首页/ 题库 / [多选题]男性，由马车摔下，出现颈部疼痛，颈椎前屈的答案

男性，由马车摔下，出现颈部疼痛，颈椎前屈僵硬，四肢感觉运动正常。X线片示颈5椎体向前脱位，椎弓根骨折，诊断无脊髓损伤性颈椎骨折脱位。有关其致伤机制，下列哪些说法正确（）

多选题
2021-09-02 21:29
A、椎弓根骨折，致椎管前后结构分离，形成足够的安全间隙是脊髓得以完整的原因
B、骨折脱位时后部相邻椎体间黄韧带撕裂，棘突及椎板张开是脊髓损伤较小的原因
C、多由屈.曲性损伤造成
D、一经诊断，必须立即将屈曲的颈椎伸展复位，以恢复正常的解剖关系
E、手术的目的在于清除局部血肿及增生组织，解除压迫
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正确答案
A| B| C
试题解析
对此类损伤，应维持于略屈曲位牵引，逐渐过渡到中立位，手术的目的是为了使颈椎获得足够的稳定性。
标签： 骨科 上海住院医师康复医学科 骨外科学 外科住院医师
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