摘要
目的 探讨Hangman骨折伴C2 3 椎间盘损伤的病理特点及其外科治疗方法。方法 2 1例Hangman骨折伴颈2 3 椎间盘损伤患者 ,均进行颈椎前路C2 3 椎间隙融合术 ,其中 18例行颈前路钢板固定。分析其损伤类型、影像学特点和疗效。结果 未出现神经症状加重、植骨块移位、吸收和切口感染等并发症 ,新鲜骨折的枢椎脱位和C2 3 成角得到良好恢复 ,术后 6个月C2 3 植骨以及枢椎椎弓骨折都获得骨性融合。随访 8个月至 4年 ,平均随访 2年 7个月 ,绝大部分术前症状消失。结论Hangman骨折并不限定于枢椎椎弓根骨折 ,合并椎间盘损伤的Hangman骨折是一种特殊的骨折类型 。
Objective To study the pathology characteristics and management of Hangman′s fracture combined with intervertebral disc injury. Methods Twenty-one patients suffered from this special injury were converged in this study.All patients underwent anterior C_(2-3) discectomy and fusion,18 cases were fixed by anterior cervical plate.The type of fractures,radiology characteristics,and clinical outcomes were investigated. Results No graft displacement or absorption,infection and neurologic deterioration occurred.All fresh dislocation of axis and C_(2-3) angulation were corrected.Fusion of C_(2-3) intervertebral space and pedicle fracture were acquired in all of the patients.After a mean follow-up of 31 months,ranging from 8 to 48months,nearly all of the complains disappeared after operation. Conclusions Hangman′s fracture is not restricted at pedicle of the axis.Fracture combined with intervertebral disc injury is a special type of Hangman′s fracture.Anterior discectomy and fusion of C_(2-3) intervertebral disc is an effective operation method in accord with the pathophysiology of this special injury.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2004年第12期712-715,共4页
Chinese Journal of Surgery
