摘要
针对齿状突陈旧性骨折引起的寰枢椎不稳定合并Ｃ４～Ｃ６椎管狭窄，出现相应神经症状的患者，设计了Ｇａｌｉｅ法固定融合寰枢椎并同时作Ｃ３～Ｃ７右侧椎板切除，椎管潜行减压的一期手术方法，以重建寰枢椎的稳定性并缓解神经症状。该方法有缩短治疗时间，减少治疗费用，减轻患者的痛苦，以及相对安全等特点。讨论了寰枢椎不稳定合并下段颈椎管狭窄手术方法的选择，上。
To cure patients suffering from atlantoaxial instability following old fracture of odontoid process concomitant with stenosis of lower end of cervical spinal canal, a new operative method was designed. It included atlantoaxial fusion by Gallie technique and resection of right half of the laminae of C3～C7 spine at one stage. A female of 63 years old was treated. She was admitted with neck pain and numbness of the upper and lower limbs. A history of neck injury was noted in enquiry. In physical examination showed the sensation of pain of the upper limbs was decreased and the muscle power of the upper and lower limbs ranged from Ⅲ° to Ⅳ°. The Xray film and MRI suggested that there was instability of the atlantoaxial joint with stenosis of 4th～6th cervical spinal canal. The operation was satisfactory. After operation, the patient was followed up for 11 months. The physical examination indicated that sensation of the upper limbs had recovered to normal and the muscle power of the upper limbs reached Ⅳ° and that the lower limbs reached Ⅴ° and Xray showed bony fusion of the atlantoaxial joint. The conclusions were: ①the stability of atlantoaxial joint was reconstructed with expanding of the spinal canal at the same time. ②the duration, risk and cost of the therapy were reduced, and maintenance of the stability of the cervical spine throughout whole peroid of treatment was recommended.
出处
《中国修复重建外科杂志》
CAS
CSCD
1998年第5期269-271,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
寰枢椎脱位
颈椎管狭窄
外科手术
Fracture of odontoid process Atlantoaxial dislocation Cervical spinal stenosis Operative therapy
