摘要
目的 分析颈椎前路带锁钢板螺钉系统临床应用并发症的产生原因并提出预防措施。方法 随访颈椎前路带锁钢板治疗颈椎骨折脱位、脊髓型颈椎病和颈椎椎体肿瘤 167例病例，观察带锁钢板螺钉系统应用的并发症。结果 与颈椎前路带锁钢板有关的并发症包括固定螺钉进入椎间隙、单一螺钉退出、钢板拔出及食道瘘等，共 19例患者 (26例次 ),多数与手术操作不当有关。结论 严格颈椎前路带锁钢板固定的适应证和熟练手术操作是预防其并发症发生的关键。
Objective To study the complications and prevention methods for the different anterior locking cervical plate systems. Methods One hundred and sixty-seven patients with the cervical spondylotic myelopathy, fracture-dislocations or tumor of the cervical spine were treated using AO, Orion, and SpineTech anterior locking cervical plate systems. The complications related to the different plate systems were observed. Results The complications related to the anterior cervical plate occurred in 19 patients which included protrusion of the fixation screws into disc space,migration of the screws and plate and esophagus fistulae. Most of the complications were caused by improperly technological performance. Conclusion It is important to have correct patient selection and follow the technical principles of the different anterior locking cervical plate systems for the prevention of the complications.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2001年第5期287-289,共3页
Chinese Journal of Orthopaedics
关键词
颈椎
骨板
内固定器
手术后并发症
骨折脱位
Cervical vertebrae
Bone plate
Internal fixators
Postoperative complications
