摘要
目的探讨前路手术治疗颈椎骨折脱位临床效果。方法本组12例均于前路减压、复位、植骨及ORION钢板内固定,按神经系统功能分级Frankel分级,于手术前、术后进行分级评定。结果12例患者平均随访14.5个月。骨折、脱位复位均满意,椎体高度穏定性良好,植骨术后3～6个月融合。无钢板螺钉松动、断裂等并发症发生。术后Frankel分级改善一级左右。结论严重颈椎骨折脱位伴脊髓损伤选择经前路手术治疗、复位。神经功能的改善及稳定性的重建效果满意。
Objective To investigate the me clinical outcomes of anterior approach operation in the treatment of cervical spine fracture and dislocation. Methods This group included 12 cases;the patients underwent anterior decompression,reduction,bone grafting and the ORION plate fixation. The nervous functions were evaluated bv Frankel＇ s standard before and after operation. Re- stilts 12 patients were followed up for an average of 14.5 months. The results of treating the fractures and dislocations were sat- isfied ,no loss of vertebral height was found ,and the bone was fused in 3-6 months after bone grafting. The complications of plate breaking and screw loosen were not found. After the operations, the patients acquired about 1 Frankel＇ s grade improvement. Con- clusions The improvement of the nervous function and the stability of reconstruction through selecting the anterior approach op- eration and reduction in the treatment of severe cervical spine fi＇acture and dislocation,with spinal cord injured,were satisfied.
出处
《中华全科医学》
2008年第9期902-903,共2页
Chinese Journal of General Practice
关键词
颈椎
前路途径
植骨
内固定
Cervical spine
Anterior approach
Bone grafting
Internal fixation
