寰椎横韧带断裂诊疗的研究进展
Research Progress on the Diagnosis and Treatment of Transverse Atlantal Ligament Rupture
摘要: 寰椎横韧带(Transverse Atlantal Ligament, TAL)断裂常导致寰枢椎不稳(Atlantoaxial Instability, AAI)，甚至引起高位脊髓压迫从而危及生命。随着影像学技术的发展和脊柱外科手术技术的进步，TAL断裂的诊断和治疗水平有了显著提高，但仍存在诊断方式的选择争议较多、手术创伤相对较大和临床获益不明确等诸多挑战。本文综述了寰椎横韧带断裂的诊断方法、治疗策略的相关研究进展，旨在为临床医生提供参考，以更好地管理此类患者。
Abstract: The transverse atlantal ligament (TAL) rupture often leads to atlantoaxial instability (AAI) and may even cause high cervical spinal cord compression, which is life-threatening. With the development of imaging technology and the advancement of spinal surgery techniques, the diagnosis and treatment of TAL rupture have significantly improved. However, there are still many challenges, such as controversies in the choice of diagnostic methods, relatively large surgical trauma, and unclear clinical benefits. This article reviews the research progress on the diagnostic methods and treatment strategies for TAL rupture, aiming to provide a reference for clinicians to better manage such patients.
文章引用：杜秋, 沈凯. 寰椎横韧带断裂诊疗的研究进展[J]. 临床医学进展, 2025, 15(3): 1540-1545. https://doi.org/10.12677/acm.2025.153774

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