摘要
目的介绍应用短节段固定使难复性下颈椎脱位复位稳定的方法。方法2003年5月～2004年4月我院采用单节段前后路联合手术治疗难复性下颈椎脱位的患者15例,所有的患者外伤超过4周,有Facet关节交锁,牵引难以复位。我们通过后路关节突松解,棘突间用爱昔康1号线紧缩。前路椎间撑开人工骨植入,AO板内固定。结果所有患者通过后路关节松解,前路椎间撑开植入人工骨,均得到满意的复位和良好的颈椎序列。结论通过后路关节松解联合前路椎间撑开复位使颈椎得到复位和序列。
Objective To introduce a single level fixation and reduction for cervical dislocation. Methods 15 patients who had old cervical dislocation were treated from May 2003 to April 2004. All the patients had facet locking that could not be reduced though traction. We used posterior approach to relax facet locking and thick Ethicon wire to fix spinal process. We used anterior poach to plug coralline hydroxyapatite (CHA) as the graft. AO plates and locking screws were used to fix the vertebral body. Results All the patients got satisfactory reduction and good alignment through lysis of facet locking and CHA plug. Conclusion The posterior decompression combined with anterior stabilization can achieve satisfactory reduction and alignment for dislocation of inferior cervical vertebra.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第11期1203-1205,共3页
Chinese Journal of Orthopaedic Trauma
关键词
颈椎
脱位
复位
小关节交锁
Cervical vertebra
Dislocation
Reduction
Facet looking
