摘要
目的 探讨创伤性寰枢椎不稳的手术治疗。 方法 对６３ 例创伤性寰枢椎不稳患者进行后路融合术。其中齿突骨折４６ 例，横韧带断裂１３ 例，陈旧性寰椎椎弓骨折４ 例。４５ 例行枕颈融合术，１８ 例行寰枢椎融合术。 结果 术后颈椎侧位Ｘ 线片检查，５８ 例平均随访８ 个月（６ ～９６ 个月） ，均获得骨性愈合。 结论 陈旧性不稳定齿突骨折、伴有不愈合倾向齿突骨折、横韧带断裂、寰枢椎不稳引起神经症状者均适合于后路融合手术。
Objective To study the surgical treatment of traumatic atlanto axial instability. Methods The posterior fusion was performed on 63 patients with traumatic atlanto axial instability, in which 46 patients were with unstable odontoid fracture, 13 patients with disrupted transverse ligament, 4 patients with old atlantal vertebral arch fractures. The occipitocervical fusion was performed on 45 patients, atlanto axial fusion on 18 patients. Results Lateral cervical radiograph examination was done after surgery. A follow up study was made in 58 patients for an average of 8 months (range 6 96 months). All of them had solid osseous unions. Conclusions The posterior fusion is recommended for those who are with nerve symptoms caused by the atlanto axial instability, old unstable odontoid fractures, type II odontoid fractures with factors developing nonunion and transverse ligament disruption.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2000年第1期17-19,共3页
Chinese Journal of Trauma
关键词
寰枢关节骨折
寰枢椎不稳
外科手术
Atlanto axial joint
Atlas
Axis
Fractures
Unstable
Spinal fusion, posterior
