๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #7

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Female
์ง€์‹œ์‚ฌํ•ญ: ์™ธ์ƒ

์ฆ๋ก€ #7

๊ฒฐ๊ณผ

  • C2 ์–‘์ธก ๊ฒฝ์ถ” ๊ฐ(pedicle) ๋ฐ ์น˜๋Œ๊ธฐ ํ›„๋ฐฉ ๊ธฐ์ €๋ถ€๋ฅผ ๊ด€ํ†ตํ•˜๋Š” ๊ธ‰์„ฑ ๊ฒฝ๋ฏธํ•œ ์ „์œ„ ๊ณจ์ ˆ. ์ขŒ์ธก์—์„œ๋Š” ์ถ”๊ถํŒ ๋ฐ C2-C3 ํ›„๊ด€์ ˆ๊นŒ์ง€, ์šฐ์ธก์—์„œ๋Š” ํšก๋Œ๊ธฐ๊ณต๊นŒ์ง€ ๊ณจ์ ˆ ์—ฐ์žฅ
  • C2-C3 ์ขŒ์ธก ํ›„๊ด€์ ˆ์˜ ๊ฒฝ์‚ฌ ํƒˆ๊ตฌ(perched facet)
  • C2-C3์—์„œ์˜ ๊ตญ์†Œ ํ›„๋งŒ์ฆ ๋ฐ ๊ฒฝ๋ฏธํ•œ ์ „๋ฐฉ ์ „์œ„
  • ์ด ๋ ˆ๋ฒจ์—์„œ ๊ฒฝ๋ฏธํ•œ ์ค‘์‹ฌ ํ˜‘์ฐฉ์— ๊ธฐ์—ฌํ•˜๋Š” ์–‡์€ ๋ณต์ธก ๊ฒฝ๋ง‰์™ธ ํ˜ˆ์ข…
  • ๊ฒฝ๋ฏธํ•œ ์ฒ™์ถ”์ „ ๋ถ€์ข…

์ง„๋‹จ

ํ›„๊ด€์ ˆ ๋ถ€์ •๋ ฌ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

C2 ๊ฒฝ์ถ” ๊ฐ ๋ฐ ์น˜๋Œ๊ธฐ ๊ธฐ์ €๋ถ€ ํ›„๋ฐฉ์„ ๊ด€ํ†ตํ•˜๋Š” ๊ธ‰์„ฑ ๊ฒฝ๋ฏธํ•œ ์ „์œ„ ๊ณจ์ ˆ, ์ขŒ์ธก ์ถ”๊ถํŒ ๋ฐ C2-C3 ํ›„๊ด€์ ˆ๊นŒ์ง€, ์šฐ์ธก ํšก๋Œ๊ธฐ๊ณต๊นŒ์ง€ ์—ฐ์žฅ. C2์˜ C3์— ๋Œ€ํ•œ 3 mm ์ „๋ฐฉ ์ „์œ„, ๊ตญ์†Œ ํ›„๋งŒ์ฆ, ๋ฐ C2-C3 ์ขŒ์ธก ํ›„๊ด€์ ˆ์˜ ๊ฒฝ์‚ฌ ํƒˆ๊ตฌ ๋™๋ฐ˜์œผ๋กœ ๊ด‘๋ฒ”์œ„ํ•œ ์ธ๋Œ€ ์†์ƒ์ด ์šฐ๋ ค๋˜๋ฉฐ, MRI๋กœ ์ถ”๊ฐ€ ํ‰๊ฐ€ ๊ฐ€๋Šฅ.

์ด ๋ ˆ๋ฒจ์—์„œ ์•ฝ 2 mm์˜ ์–‡์€ ๋ณต์ธก ๊ฒฝ๋ง‰์™ธ ํ˜ˆ์ข…, ์ƒ๊ธฐ ์™ธ์ƒ์„ฑ ๋ถ€์ •๋ ฌ๊ณผ ๊ฒฐํ•ฉํ•˜์—ฌ ๊ฒฝ๋ฏธํ•œ ์ค‘์‹ฌ ํ˜‘์ฐฉ์— ๊ธฐ์—ฌ. MRI๋กœ ์ฒ™์ˆ˜ ์†์ƒ ํ‰๊ฐ€ ๊ฐ€๋Šฅ.

C2-C3์—์„œ ์™ธ์ƒ์„ฑ ๋ถ€์ •๋ ฌ ๋ฐ ์šฐ์ธก ํšก๋Œ๊ธฐ๊ณต์„ ์นจ๋ฒ”ํ•˜๋Š” ๊ณจ์ ˆ ์—ฐ์žฅ์„ ๊ณ ๋ คํ•  ๋•Œ, ํ˜ˆ๊ด€ ์†์ƒ ํ‰๊ฐ€๋ฅผ ์œ„ํ•ด ๊ฒฝ๋ถ€ CTA ๊ถŒ์žฅ.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Dreizin D, Letzing M, Sliker CW, et al. Multidetector CT of blunt cervical spine trauma in adults. Radiographics 2014;34(7):1842โ€“ 1865.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
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