摘要
目的 探讨Halo-Vest外固定架治疗枢椎齿状骨突新鲜骨折的适应证及临床疗效.方法 回顾32例枢椎齿状突新鲜骨折患者采用Halo-Vest架外固定治疗.按Grauer改良的Anderson-D＇Alonzo分型：Ⅱ型23例,其中ⅡA型15例,ⅡB型2例,ⅡC型6例,Ⅲ型9例.本组均采用枕颌牵引3周后改行Halo-Vest架外固定治疗.结果 本组32例患者全部获得随访,随访时间4个月～2年,平均1年2月,影像学证实全部病人均获得骨性愈合,愈合时间3～4个月,平均3.1个月;所有患者的寰枢椎关节稳定,寰枢椎屈伸和旋转功能恢复良好.结论 Halo-Vest外固定架具有经济、操作简单安全、创伤小并且有使颈椎过伸牵引复位等优点,是治疗枢椎齿状突新鲜骨折的理想方法,即使对于Ⅱ型骨折也仍是值得推荐的治疗方法.
Objective To report the clinical effect of fresh odontoid fracture treatment with the Halo-Vest external fixation. Methods Thirty-two patients with the odontoid fracture undergoing Halo- Vest external fixation were retrospectively investigated. According to the Grauer modified Anderson- D＇Alonzo＇s classification, there were 15 cases of type IIA, 2 eases of type IIB, 6 cases of type IIC and 9 cases of type III. All the patients received occipito-mandibular traction after 3 weeks to Halo- Vest external fixation. Results All of the 32 patients were followed up for 4 months to 2 years, an average of 1 year and two months. By imaging examination findings, all patients obtained bone healing in 3 to 4 months after Halo-Vest external fixation. And the patients had sound aflantoaxial joint stability, good flexion extension and rotation function. Conclusion Halo-Vest external fixation has the advantage of cervical hyperextension traction and small trauma, and is a economic, simple and safe operation in the treatment of fresh odontoid fracture incuding the type II fracture.
出处
《岭南现代临床外科》
2014年第4期438-441,共4页
Lingnan Modern Clinics in Surgery
