摘要
目的评价下颈椎骨折脱位前后路联合手术治疗的临床疗效。方法采用前后路联合手术治疗下颈椎骨折脱位合并脊髓损伤50例,随访3～21个月,平均17个月,定期X线片观察损伤节段的稳定性和融合率,以Frankle分级判定脊髓功能恢复情况。结果前后路联合手术治疗下颈椎骨折脱位固定节段稳定,融合率100%,脊髓减压充分。脊髓功能Frankle分级平均提高1.2级。结论术前颅骨牵引复位,可以使大多数骨折脱位复位,安全有效;前后路联合手术可使受伤节段术后达到即刻稳定,方便护理。
Objective evaluation of anterior cervical spine fracture and dislocation of the joint clinical efficacy of surgical treatment. Methods The surgical treatment of anterior dislocation of lower cervical spine fracture with spinal cord injury in 50 cases, follow-up 3 - 21 months, an average of 1 7 months, periodic X-ray observation of injury-segment stability and fusion rate, in order to determine the classification Frankle recovery of spinal cord function. Results anterior surgery for fracture and dislocation of lower cervical segmental fixation stability, fusion rate was 100%, full spinal cord decompression. Frankle classification of spinal cord function an average of 1.2. Conclusion Preoperative skull traction, you can make the majority of fracture and dislocation reduction, safe and effective; anterior segment surgery after injury can achieve immediate stability, and facilitate the care, functional training will help strengthen and spinal cord function as soon as possible
出处
《医学信息》
2009年第7期1243-1245,共3页
Journal of Medical Information
关键词
颈椎
骨折
前路
手术治疗
cervical spine
fracture
anterior
surgical treatment
