摘要
目的 :评价颈胸段前路减压、植骨、Orion钢板内固定技术在颈胸段脊柱创伤治疗中的作用。方法 :对 15例颈胸段脊柱骨折、脱位的患者行颈胸段前路 C7,T1 ,C6,7或 C7-T1 椎体次全切除、植骨及 Orion锁定型颈椎前路钢板固定术。结果 :所有患者随访 3个月至 1年 ,植骨均在 3～ 4个月内完全融合 ,12例脊髓神经功能有不同程度的改善 ,未发生钢板螺钉松动 ,1例出现暂时性声音嘶哑。结论 :颈胸段前路减压、植骨、Orion钢板内固定术是治疗颈胸段脊柱脊髓创伤行之有效的手段 ,Orion钢板有助于植骨节段融合 。
Objective: To evaluate the effect of anterior decompression, reconstruction and stability technique in treatment of cervicothoracic spine trauma. Methods: Fifteen cases of cervicothoracic fracture were performed on anterior subtotal vertebraectomy at C 7,T 1,C 6,7 or C 7 T 1 segment, bone graft and Orion anterior cervical locking plate fixation in cervicothoracic spine. Fifteen cases were followed up for 3 12 months. Results: Complete fusion of bone graft occurred within 3 4 months in all cases. There were no complication of loosening and breaking of the plate and the screws. Spinal cord neurological function in twelve cases were improved to different degrees. Transient voice hoarse occurred in one case. Conclusion: Anterior decompression, bone graft and Orion locking plate fixation are useful for treating spine and spinal cord trauma in cervicothoracic segment, and is helpful for the bone graft healing, reconstruction and stability in cervicalthoracic spine.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2000年第7期654-656,共3页
Academic Journal of Second Military Medical University
基金
国家自然科学基金资助项目 !( 39870 759)
关键词
颈胸段脊柱损伤
前路减压
内固定术
cervicothoracic spine injuries
anterior decompression
internal fixation
