浅谈临床寰枢关节旋转式半脱位诊治过程中有待商榷的几个部分
Debatable issues about clinical diagnosis and treatment ofatlantoaxial rotatory subluxation

寰枢关节旋转半脱位是颈椎病中最常见的损伤，由于寰枢关节的解剖位置和功能的复杂性，相应的临床症状也相当复杂且严重。若未经及时治疗，其脱位程度常进行性加重，导致脊髓高位受压而危及生命。由于其潜在危险性大，因此关于寰枢关节的诊断治疗存在诸多争论。本文从问诊与查体、影像学检查及治疗这三个方面阐述目前所存在的争议，力求更精确的诊断与治疗。
Atlantoaxial rotatory subluxation is a kind of the most common injury in cervical spondylosis. Owing tothe complexity of anatomical location and function of the atlantoaxial joint, its clinical symptoms are quite complex andserious. Without treatment in time, the degree of dislocation may progress, which often results in spinal cord compressionand life-threatening. Because of its potential danger, the diagnosis and treatment of atlantoaxial rotatory subluxation arousemany arguments. To strive for more accurate diagnosis and treatment, this article expounds the current debate in aspects ofinterrogation, physical examination, imaging examination and treatment