摘要
目的探讨一期前、后入路对下颈椎骨折、脱位伴关节交锁手术治疗的效果。方法对我院从2000～2004年对18例下颈椎骨折、脱位伴关节交锁患者采用一期前、后联合入路手术复位、减压、内固定。术后随访12～48月,平均30月。最后评价脊髓神经功能的恢复,测量并计算颈椎高度的丧失率以及颈椎的屈伸范围、椎间融合率,观察有无并发症发生。结果脊髓神经功能的恢复按Frankel分级评定,平均提高1．6级。颈椎总的伸曲活动范围平均17度,椎体高度丧失率1．3%,融合率为100%,无并发症发生。结论一期前、后入路手术治疗下颈椎骨折、脱位伴关节交锁可获得准确复位、充分减压、植骨融合率高、稳定性好,神经功能获得一定程度的恢复。
Objective To evaluate the effect of surgical treatment of being combined anterior-posterior ap- proach for the fracture and dislocation of the lower cervical spine.Methods Eighteen patients with fracture and dislocation of the lower cervical spine were treated by single-stage combined anterior-posterior approach decom- pression and internal fixation between 2000 and 2004.At mean follow-up of 30 months (ranging from 12 to 48 months).At last,the spinal function of all the patients was evaluated,and the loss rate of cervical body heights and the fusion rate were calculated.The range of motion and the complication were observed.Results The improvement of spinal function (Frankel classification) was1.6 grade,The average range of the extension and flexion was 20°,The loss rate of cervical body heights was 1.3%,The fusion rate was 100% and no complications occurred Conclusion Exact restoration、complete decompression and good fusion and sufficient stability could be achieved in the treatment of the fractures and dislocation of the lower cervical spine through combined an- terior-posterior operations.
出处
《生物骨科材料与临床研究》
CAS
2006年第4期15-17,共3页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
颈椎
骨折
脱位
手术
Cervical spine
Fracture
Dislocation
Operations
