摘要
目的分析颈胸段损伤中颈7胸1骨折脱位的临床特征和手术方式。方法过去4年中共13例颈7胸1骨折脱位病例,男8例,女5例,年龄33岁～63岁,平均44.5岁,均行单纯前路胸1椎体切除减压,不复位后方小关节脱位下行钛网植骨钢板内固定,并分析手术要点。结果所有病例均行颈胸段前路入路,手术创伤较小,颈胸段椎体前方的序列得到重建,平均8.5个月随访获得骨性融合。术中的减压为可能的恢复提供条件,同时提供可靠的脊柱稳定为康复提供必要的条件,部分病人神经症状得到不同程度的改善。结论基于颈胸段结构的特点,常发生于颈7胸1节段,且往往表现为位颈7胸1脱位。单纯的前路减压内固定以较小的创伤,获得足够的减压稳定以及恢复椎体序列的目的。
Objective To determine the clinical feature and management modality of cervicothoracic junction fracture-dislocation.Methods Thirteen consecutive cases with C7T1 fracture-dislocation were retrospectively reviewed in the past 4 years by its clinical character and surgical method.There were 8 males and 5 females aged between 33 to 63 years with average 44.5 years.All the cases were managed with single anterior approach to obtain anterior decompression and fixation with no need to reducing the posterior dislocation.Results All the patients were operated by anterior approach,with complete neural decompression and fixation,as well as restoring cervical veterbral body alignment.At averaging 8.5 month follow-up,all patients obtained bone fusion,part of them having varied neural imporovement.Conclusion Injury at cervicothoracic junction commonly is presented as C7T1 fracture-dislocation.Single anterior approach is viable for C7T1 fracture-dislocation.
出处
《颈腰痛杂志》
2010年第5期335-337,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
颈胸段
脊柱骨折
前路手术
cervicothoracic junction
fracture-dislocation
anterior approach
