摘要
目的探讨依据Levine-Edwards分型选择Hangman骨折治疗方法及疗效。方法回顾性研究19例Hangman骨折,其中男12例,女7例,平均年龄36岁。依据Levine-Edwards分型系统,Ⅰ型6例,Ⅱ型6例,Ⅱa型5例,Ⅲ型2例,分别采用保守治疗、前路手术、后路手术和前后路联合手术。采用ASIA评分标准分级评定神经功能恢复情况,影像学评定植骨融合情况。结果19例患者获得7～36个月的随访,ASIA评分提高1级,术后X线显示椎间高度、生理曲度及稳定性均得到重建,无内固定物断裂和松动,效果良好。结论Levine-Edwards分型对于Hangman骨折的治疗具有重要指导意义,可依据该分型选择治疗方法。
Objective To evaluate the methods and efficacy of the treatments for Hangman＇s fracture according to the Levine - Edwards classification. Methods Nineteen patients including 12 males and 7 females with mean age of 36 years were analyzed retrospectively. According to the Levine - Edwards classification, there are 6 Type Ⅰ , 6 Type Ⅱ , 5 TypeⅡa, and 2 Type Ⅲ. The treatment methods were chosen depending on the fracture type. All cases were respectively managed with traction followed by bracement, anterior approach interbody fusion, posterior surgeries or combined anterior and posterior surgeries. Results Nineteen cases were followed - up with the mean period of 16 months postoperatively, and all eases got solid fusion and excellent clinical results. Conclusion The treatment methods for Hangman＇s fracture could be selected properly according to Levine -Edwards classification.
出处
《中国骨与关节外科》
2009年第3期192-195,共4页
Chinese Journal of Bone and Joint Surgery
基金
江苏省卫生厅科技兴卫工程(RC2007059)
