摘要
[目的]探讨下颈椎双侧关节突脱位的复位方式及治疗效果。[方法]2000年～2005年6月收治下颈椎双侧关节突脱位患者22例，其中13例行MRI检查，9例有椎间盘突出，占69．2％。依据复位前是否切除损伤的椎间盘分为2组，分析复位后神经损伤的变化。[结果]未切除损伤的颈椎间盘，复位中1例、复位后3例神经症状加重。（ASIS）分级，C—A1例，C—B1例，C—D2例。切除组复位后神经症状无1例加重。[结论]下颈椎双侧关节突脱位大多数并发椎间盘突出，未切除椎间盘复位可能加重神经损伤。前路损伤椎间盘切除、复位、椎间植骨可1次完成，不但能避免各种继发性损伤，而且可即刻稳定，便于护理，融合率高。
[ Objective] To discuss the reductive method and clinical result of lower cervical bilateral facet dislocation. [ Method] Totally 22 cases with lower cervical bilateral facet dislocation were treated from 2000 to 2006. According to resecting the injuried disc annulus pre-reduction or not, the patients were divided to 2 groups . The variation of neurological fauction level were classified according to ASIA grade system. Among 13 cases examined by MRI,There were disc herniated in 9 cases （69%）. [ Result] The average time of follow-up was 18 months. Neurological symptom became more severe in 1 cases which injured disc annulus werent resected in-reduction and in 3 cases which injured disc werent resected post-reduction . ASIA grade deteriorated. 1 case upgraded from C to A, 1 case upgraded from C to B,2 case upgraded C to D. But no one occurred in another group. [ Conclusion ] A lot of lower cervical bilateral facet dislocations have associated disc herniations. If injured disc isnt resected,the neurological symptom may become more severe . Resection injured disc,reduction,bone grafting can be settled in one time ,in order to avoid secondary spine cord injury.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第24期1860-1862,共3页
Orthopedic Journal of China
关键词
颈椎
双侧关节突
脱位
复位
cervical spine
bilateral facet
dislocation
reduction
