摘要
[目的]观察早期前路减压植骨内固定术治疗下颈椎骨折脱位的临床疗效。[方法]对30例下颈椎骨折脱位采用前路手术减压、自体骨植骨及颈椎带锁钢板和或钛网内固定治疗。[结果]术后随访6～24个月,定期X线片观察损伤节段的稳定性和融合情况,以Frankel分级判定脊髓功能恢复情况。术后颈椎即获稳定,恢复脊柱正常序列、曲度及椎体高度,植骨在3～5个月融合,无钢板螺钉松动、断裂等并发症。术后神经功能获得不同程度的改善。[结论]早期前路减压植骨内固定术治疗严重下颈椎骨折脱位,不但可充分减压、使损伤节段获得满意的复位、得到即刻的稳定和重建,而且可防止继发性脊髓损伤,改善脊髓的功能状况,还可避免因发生并发症而错过手术时机。
[ Objective ] To explore the value of anterior approach in the surgical treatment of cervical fracture and disloca- tion. [ Method ] Thirty cases of lower cervical fractures and dislocations were treated with anterior decompression, reduction, auto- graft and plate fixation or titanic net. [ Result] Patients were followed up for 6 to 24 months, the regular X - ray film to observe the stability of segmental injury and the Frankel grade to determine the recovery of the spinal cord were recorded. All cases were im- proved and obtained solid fusion within 3 - 5 months. The intervertebral heights and physiologic curves were kept well, without plate or screw complications occurring in these cases. [ Conclusion ] It is feasible to get complete decompression, good reduction and excellent maintenance of intervertebral heights and physiologic curves by employing anterior approach to treat lower cervical fractures and dislocations. More importantly, it can get immediate stabilization to cervical spine and prevent secondary injury to spinal cord and recover nervous function.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第12期905-908,共4页
Orthopedic Journal of China
关键词
下颈椎
骨折脱位
前路手术
cervical vertebra
fracture dislocation
anterior approach
