摘要
在１１２例上颈椎后路融合术的患者中，２３例出现并发症，５例死亡，其中寰枢椎后弓钢丝固定植骨融合组的发生率为８／３０，包括复位欠佳、术后再移位、植骨块移位、钢丝断裂等；寰椎后弓切除植骨融合组的发生率为１５／７６，包括术后症状改善不明显或加重、植骨块不愈合、硬膜囊撕裂、枕部血肿等；单纯植骨融合组无何特殊。作者认为充分的术前准备、适宜的手术方式、精细的手术操作及良好的制动和护理可避免大部分并发症发生。
Among 112 operations for postrior fusion of the upper cervical spine,twenty-three had occurred
complicationspostoperatively.Of 30 patients rectiving operation of wiring the posterior arch of
C1-C2 with bone graft,8 cases hadcomplications including unsatisfactory reduction of
atlantoaxial dislocation,redislocation,disposition of graft-bone and ruptureof the
wire.Seventy-six patients wre treated by resection of the posterior arch with bone
graft,complications were occurred in15 cases,including worse of neurological deficits
,non-union of bone graft,tear of the dural and occipital haematoma.There werefive death.The
authors thought that abundant preoperative preparation,appropriate choce of operative methods
and meticuloussurgical technique may advoid most of the complications.
出处
《中国矫形外科杂志》
CAS
CSCD
1995年第1期20-21,共2页
Orthopedic Journal of China
