摘要
对 6例上颈椎骨折脱位患者 (齿状突骨折伴寰枢椎半脱位 4例 ,Hangman骨折 2例 ) ,应用 APOFIX系统行后路 C1～ 2 固定及植骨融合术 ,术后定期摄颈椎 X线片。结果 6例内固定均成功 ,并获 6个月以上随访 ,椎板钩及植骨块无松动及移位 ,植骨融合。认为 APOFIX应用于上颈椎后路内固定 ,安全、简便、有效 ;
To evaluate the clinical effect of APOFIX instrument in treating superior cervical spinal fracture and dislocation, six cases of superior cervical spinal fractures and dislocations (including 4 cases of odontoid fractures accompanying atlanoaxial sub dislocations and 2 cases of Hangman`s fractures) were treated by C 1～2 arthrodesis and autologous bone grafts using APOFIX instrument. The clinical outcome was assessed by radiographs of the cervical spine for a regular time. The results showed that successive installation of inner fixation was obtained in all patients who were followed up postoperatively for 6~18 months. Solid osseous unions were gained in all 6 cases without loosely surging of interlaminar clamps and shifting of graft bones. The study suggests that it is safe ,simple and effective for the treatment of superior cervical spinal fractures and dislocations using APOFIX instrument. The preoperative anatomic reduction of atlantoaxial is the key to operation.
出处
《山东医药》
CAS
北大核心
2001年第16期4-5,共2页
Shandong Medical Journal
关键词
上颈椎骨折脱位
APOFIX系统
骨折内固定术
Superior cervical vertebra Spinal fractures and dislocations APOFIX instrument Operative treatment
