摘要
目的 探讨经咽后入路行高位颈椎前路减压内固定的显露效果。方法 本组 7例 ,年龄 12～ 5 6岁 ,C1、2 椎体结核 3例 ,第二颈椎骨折 (HangmanⅢ型 ) 3例 ,C2、3 、C3、4 椎间盘突出症 1例。经高位前方咽后入路显露C1～C3 ,结核行病灶清除 ,Hangman骨折复位后行C2、3 椎间植骨融合 ,自锁钛板内固定 ,高位颈椎间盘突出症患者行椎间盘切除 ,C2、3 植骨自锁钛板内固定。结果 7例患者均成功显露出C1前弓～C3 椎体 ,并完成病灶清除、减压融合内固定。无颈部重要血管神经损伤 ,无伤口感染 ,1例不全瘫有部分恢复。结论 前方高位咽后入路是显露上颈椎较理想的入路 ,具有显露充分、损伤小、切口并发症少等优点。
Objective To study the exposure of the upper cervical spine from the high anterior cervical retropharyngeal approach.Methods There were seven patients.The age was 12 to 56 years old. C 1 2 tuberculosis was in three patients,hangman fracture (tape Ⅲ) was in three patients and C 2 3 ,C 3 4 disc herniation was in one patient.All patients underwent the high anterior cervical retropharyngeal approach.Lesion clearance was performed for tuberculosis.C 2 3 fusion followed by self-locking plate was undergone for hangman fracture and C 2～5 fusion followed by self-locking plate was undergone for upper cervical discherniation.Results Successful exposure,lesion clearance,or decompression and fusion were in all patients.The was no important vascular and nerve injury and was no wound infection.One patient had worse of incomplete quadriparesis.Conclusion The high anterior cervical retropharyngeal approach to the upper cervical spine was a favorable approach.The operation could perform safely and with full exposure,minimal wound complication.
出处
《骨与关节损伤杂志》
2002年第2期83-85,共3页
The Journal of Bone and Joint Injury
