摘要
目的 介绍枕颈融合固定的基本方法。方法 143例自发性寰枢椎脱位病人分别采用枕颈植骨融合钢丝 (或钛缆 )固定 (114例 )、枕颈CD棒固定 (6例 )、C1 C2 植骨融合钢丝 (或钛缆 )固定 (19例 )和C1 C2 Apofix椎板夹固定 (4例 )。结果 12 0例平均随访 6年 7月 ,显效 5 0例 ,有效47例 ,无变化 14例 ,加重 8例 ,死亡 1例。结论 凡枕颈部不稳定的病人 ,原则上均应考虑重建稳定性。根据病人的具体情况 ,选用适当的固定术式和器械 ,仔细操作 。
Objective To introduce the basic methods of occipitocervical fusion and fixation. Methods Among the 143 patients with idiopathic atlanto axial dislocation, 120 were treated with occipitocervical fusion and fixation using stainless steel wire (or titanium cable) or CD rod, 23 with C 1 C 2 fusion and fixation using stainless steel wire (or titanium cable) or Apofix system. Results 120 patients were followed up for 6 years and 7 months on the average. Remarkable improvement was achieved in 50 patients, improvement in 47, no change in 14, deterioration in 8 and death in 1. Conclusion Reconstruction of stability should be considered in all patients who suffered from occipitocervical instability. Good results can be obtained in most patients when the surgical modality and instruments individually selected and the operation performed meticulously.
出处
《中华神经外科杂志》
CSCD
北大核心
2001年第3期171-173,共3页
Chinese Journal of Neurosurgery
