摘要
目的评价颈椎前路钛网植骨及带锁钢板固定治疗下颈椎骨折的临床应用价值。方法 2005年5月～2012年12月共收治下颈椎压缩性及爆裂性骨折患者32例,其中颈脊髓损伤患者28例,采用前路减压复位椎体次全切除、钛网植骨及带锁钢板固定方法一期手术治疗。按照Frankel评分系统对神经功能恢复情况进行评价,以X线片测量的Cobb角、"D"值改变评价复位效果、观察融合节段曲度及颈椎生理曲度重建和维持情况。结果不完全脊髓损伤患者Frankel评分恢复平均1级以上。Cobb角、"D"值测量统计表明术前与术后差异有统计学意义(P<0.05),术后即刻与术后随访差异无统计学意义(P>0.05)。结论颈前路钛网植骨及带锁钢板固定治疗下颈椎骨折临床疗效满意,能重建和维持颈椎生理曲度。
Objective To evaluate the clinical application value of anterior cervical titanium mesh bone grafting combined locking plate fixation for lower cervical fractures Methods From May 2005 to December 2012, 32 cases of cervical compres- sion and burst fractures （28 cases with cervical spinal cord injury） were treated by anterior decompression, reduction and cor- pectomy, titanium mesh bone grafting and locking plate fixation at one stage. The neurofunction was evaluated by Frankel grad- ing system. Reposition condition was evaluated by Cobb＇ s angle measured on the X-ray film and the ＂D＂ value change. Fusion segments curvature, cervical curvature reconstruction and maintenance was observed. Results Frankel grading of patients with incomplete spinal cord injury restored above 1 level in average. There were some difference in Cobb＇ s angle and ＂D＂ value between preoperation and postoperation and it has statistical significance. And there were no difference between immediate postoperation and follow-up. Conclusion The clinical effect of anterior cervical titanium mesh bone grafting com- bined locking plate fixation for lower cervical fractures is satisfactory, and it can reconstruct and maintain the physiological curvature of the cervical spine.
出处
《脊柱外科杂志》
2013年第3期146-148,共3页
Journal of Spinal Surgery
基金
黑龙江省卫生厅课题(2012-740)
关键词
颈椎
脊柱骨折
脊髓损伤
骨移植
减压术
外科
脊柱融合术
内固定器
Cervical vertebrae
Spinal fractures
Spinal cord injuries
Bone transplantation
Decompression, surgical
Spinal fusion
Internal fixators
