摘要
目的探讨前路融合内固定手术治疗Hangman骨折的疗效。方法 2005-12-2009-12我科应用前路融合钢板内固定治疗Hangman骨折13例,男10例,女3例,年龄24～58岁,平均37.4岁。Levine-EdwardsⅡ型7例,Ⅱa型4例,Ⅲ型2例。术前使用Halo-vest架复位固定。患者颈前右侧入路显露C2-3间隙,减压后植入自体髂骨块或椎间融合器并行钢板内固定。结果术后未发现血管神经损伤并发症,X线片显示骨折均达到解剖复位,骨性愈合时间在3～4个月,颈部旋转屈伸功能正常,未发现内固定断裂及松动。结论前路减压植骨内固定治疗不稳定的Hangman骨折,融合固定可靠,无须长期卧床或佩戴Halo氏架,是一种效果确切的治疗方法。
Objective To evaluate the resuh of anterior road cervical operation to treat Hang- man＇s fracture. Methods From December 2005 to December 2009,13 patients with Hangman＇s fracture were treated. 10 male,3 female,age ranged from 24 to 58 years with average of 37.4 years. 7 patients classified as type II ,4 patients as type]I a,2 patients as type]]I injuries respec- tively according to Levine-Edwards classification. To maintain reduction by apply Halo-vest crutch. A anterior right approach to exposure C2_3,discectomy and decompression of C2_3,fusion,plate inter- nal fixation were carried. Results There were not any early or late post-operative complications. All cases gained bony fusion about 3-4 months. Internal fixation provides good reduction and sta- bility to Hangman＇s fracture. It is not imperative to stay in bed and to wear Halo-vest crutch for a long time. Conclusions C2-3 anterior road fusion and plate fixation is a good method to treat Hangman＇s fracture, maintaining excellent reduction and achieve stability.
出处
《颈腰痛杂志》
2012年第4期278-280,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
枢椎
颈椎骨折
前路融合
内固定术
axis cervical fracture
anterior road fusion
internal fixation
