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不同类型齿状突骨折的治疗方法及临床效果评价 被引量:4

Surgical treatment of different types of odontoid process fractures and clinical results
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摘要 目的探讨不同类型齿状突骨折的相应治疗方法及临床效果。方法对21例齿状突骨折患者根据Anderson—D’Alonzo分型进行分类,并予以不同方法治疗:Ⅰ型骨折3例行枕颌带牵引+6周后头颈胸石膏阎定;II型骨折13例行颅骨牵引复位后,齿状突中空螺钉固定;Ⅲ型骨折5例,行颅骨牵引复位后,1例行齿状突巾空螺钉固定,4例行颈后路寰枢椎椎弓根螺钉固定。结果随访6~48个月,平均9个月,骨折均获骨性愈合,未出现术后并发症。结论齿状突骨折应按类型区别处理,Ⅰ型骨折、深Ⅲ型骨折应当采用保守疗法,Ⅱ型及浅Ⅲ型骨折使用齿状突中空螺钉固定术治疗可获得满意效果,对于不适合齿状突中空螺钉治疗的浅Ⅲ型骨折,可选用颈后路寰枢椎椎弓根螺钉固定术。 Objective To discuss surgical treatment methods for different types of odontoid process fractures and evaluate their therapeutic results. Methods Twenty-one patients with odontoid process fracture were classified into three types, ie, type Ⅰ,type Ⅱ and type Ⅲ fractures accoding to An-derson-D'Alonzo classifications. There were three patients with type Ⅰ fractures treated by traction of occipital-jaw band and fixed with head-neck-chest plaster at 6 weeks and 13 with type Ⅱ fractures treated by cannulated screws following skull traction and reduction. As for five patients with type m fractures, one was fixed with cannulated screws and the other four with atlantoaxial pedicle screw after the fracture got diaolasis by skull traction. Results All oatients were fbllowed up for 6-48 months (average 9 months), which showed bony union, with no complications in all patients. Conclusions Odontoid process fractures should be treated according to different types. Conservative treatment for type Ⅰ fracture and cannulated screw fixation for type Ⅱ and low type Ⅲ fractures can attain satisfactory result. Atlantoaxial pedicle screw fixation can be an alternative for low type Ⅲ fractures that are not suitable for cannulated screw fixation.
出处 《中华创伤杂志》 CAS CSCD 北大核心 2009年第7期598-600,共3页 Chinese Journal of Trauma
关键词 脊柱损伤 颈椎 齿状突 骨折骨定术 Spinal injuries Cervical vertebrae Odontoid process Fracture fixation, internal
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参考文献9

  • 1Marchesi DG. Management of odontoid fracture. Orthopedics, 1997. 20(10) :911 -916.
  • 2Govender S, Maharaj JF, Haffajjee MR. Fracture of the odontoid process. J Bone Joint Surg (Br), 2000, 82(8) :1134 -1137.
  • 3Vieweg U, Schultheiss R. A review of halo - vest treatment of upper cervical spine injuries. Arch Orthop Trauma Surg, 2001, 121 (1 -2) :50 -5.
  • 4陈昆,林斌.齿状突骨折的手术治疗进展[J].中国骨与关节损伤杂志,2006,21(4):324-326. 被引量:18
  • 5Bohler J. Screw - ostcosynthesis of fractures of the dens axis. Unfallheilkunde, 1981, 84(6) :221 -223.
  • 6Ochoa G. Surgical management of odontoid fractures. Injury, 2005, 36(2) : 54 -64.
  • 7Seboht EA, Bayley JC. Functional outcome of surgically and conservatively managed dens fracture. Spine, 1998, 23 ( 17 ) : 1837 - 1845.
  • 8Koivikko MP, Kiuru M J, Koskinen SK, et al. Fractures associated with nonunion in conservatively - treated type II fractures of odontold process. J Bone Joint Surg (Br) , 2004, 86(8) :1146 -1151.
  • 9崔学文,田纪伟,袁文,李家顺.后路寰枢椎经关节螺钉内固定治疗陈旧性齿状突骨折[J].中国矫形外科杂志,2005,13(18):1393-1395. 被引量:12

二级参考文献27

  • 1池永龙,王向阳,毛方敏,林焱,徐华梓,黄其杉,杨雷.经皮颈前路螺钉内固定治疗齿突骨折[J].中华骨科杂志,2004,24(2):91-94. 被引量:95
  • 2林斌,郭林新,练克俭,郭延杰,丁真奇,张继明,李扬,翟文亮.内窥镜辅助下中空螺钉内固定治疗齿状突骨折[J].中国脊柱脊髓杂志,2004,14(7):434-436. 被引量:10
  • 3刘晓岚,罗为民,刘社庭,熊波,周志宏,周江南.齿状突骨折并寰枢椎脱位的手术治疗[J].中国骨与关节损伤杂志,2005,20(2):79-81. 被引量:17
  • 4Marcheesi, DG. Management of odontoid fractures[ J ]. Orthopaedics,1997,20:911 - 916.
  • 5Anderson, LD, D'Alonxo, RT. Fractures of the odontoid process of the axis [ J ]. J Bone Joint Surg ( Am ), 1974,56:1663.
  • 6Brooks, AL, Jenkin, EB. Atlantoaxial arthrodesis[J]. J Bone Joint Surg(Br), 1973,155:482 - 489.
  • 7Gybulski, GR, Stone, JL. Use of Halifax interlaminar clamps for posterior C1 -2 arthrodesis, Neuro-Surgery, 1988,22:429 -431.
  • 8Gebhard, JS, Schimmer, RC,et al. Safety and accuracy of transarticular screw fixation C1-2 using an aiming device. An anatomic study.Spine, 1998,23(20) :2185 -2189.
  • 9Toussaint, P, Desenclos, C, et al. Transarticular afianto-axial screw fixation for treatment of C1 -2 instability[J]. Neurochirurgie,2003,49(5) :519 -526.
  • 10Bohler J.Schraubenoste osynthese yon frakturen des.Dens Axis.Vnfallheilkunde,1981,84:221.

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