摘要
目的探讨前路减压、复位内固定治疗下颈椎骨折脱位并单侧关节突交锁的手术技术及近期临床疗效。方法收集2012年1月至2015年12月我院下颈椎骨折并单侧关节突交锁行手术治疗的30例临床资料,手术采取一期前路减压、颅骨牵引手法/撬拨复位、植骨融合内固定术式,分析患者术后神经功能改善情况,骨折脱位复位、植骨融合情况。结果术后随访10~24个月,平均(15±7.3)个月。末次随访X线片及CT示骨折脱位均复位良好、植骨融合,无内固定松动或断裂。按Frankel分级:术前A级1例,B级2例,C级7例,D级12例,E级8例;术后神经功能A级1例无改善,其余21例均1~2级提高。结论一期前路减压、颅骨牵引手法/撬拨复位、植骨融合内固定术式,是安全可靠的治疗下颈椎骨折并单侧关节突交锁脱位的方法,值得临床推广。
Objective To discuss the surgical technique and short-term clinical efficacy of one-stage anterior approach for lower cervical vertebra fracture with unilateral facet joint dislocation.Methods Clinical data of 30 patients were prospective collected from January 2012 to December 2015.One-stage anterior decompression,skull traction/poking reset,bone graft fusion and internal fixation were adopted.Postoperative neurological functions,reduction of dislocation,bone graft fusion were retrospective analyzed.Results The mean follow-up was(15±7.3)months(range:10-24 months).The last follow-up X-ray and CT examinations showed good reduction and fusion in all 1patients.No instrument-related complications were observed.Preoperative Frankel grading:A 1 patient,B 2 patients,C 7 patients,D 12 patients,E 8 patients.Postoperative Frankel grading:neurological functions were improved 1-2 grades in 21 patients;no improvement in 1 patient of grade A.Conclusions One-stage anterior decompression,skull traction/poking reset,bone graft fusion and internal fixation are safe and reliable in the treatment of lower cervical fracture with unilateral facet joint dislocation.
作者
梁卫东
任周梁
盛军
徐韬
盛伟斌
LIANG Wei-dong;REN Zhou-liang;SHENG Jun;XU Tao;SHENG Wei-bin(Department of Spine Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830054,China)
出处
《中国骨与关节杂志》
CAS
2019年第10期762-765,共4页
Chinese Journal of Bone and Joint
关键词
脊柱骨折
颈椎
骨折脱位
外科手术
Spinal fractures
Cervical vertebrae
Fracture dislocation
Surgical procedures
operative
