Vertex治疗齿状突骨折伴寰枢椎脱位的早期并发症分析

Analysis of early complications after using Vertex technique in treating Dens axis fracture with atlantoaxial dislocation

[目的]分析Vertex治疗齿状突骨折伴寰枢椎脱位的早期并发症发生的原因和预防措施。[方法]对18例齿状突骨折伴寰枢椎脱位中的5例6项术中和术后早期发生的椎动脉损伤、失语、失明、大出血、置钉错误等并发症的原因进行分析,避免并发症的发生。[结果]所有发生的早期并发症都得到相应治疗,未遗留后遗症。[结论]Vertex治疗齿状突骨折伴寰枢椎脱位的早期并发症均可以预防,一旦发生及时治疗效果满意。

[ Objective] To discuss the causes and preventive measures of early complications after using Vertes technique in treating dens axis fracture with atlantoaxial dislocation. [ Method ] Eighteen cases performed Vertex technique were included in this study. The early complications（ postoperative or at surgery） included vertebral artery injury （2 cases）, logagnosia （ 1 case）, anopsia（ 1 case）, hematorrhea （ 1 case） and wrong instrumentation （ 1 case）. The causes of these complications and how to prevent were analyzed. [ Result] All these complications were treated in time, and no sequela was found. [ Conclusion] The early complications of Vertex technique in treating dens axis fracture with atlantoaxial joint dislocation can be prevented. The timely treatment must be performed when it occurs, and the effect would be satisfactory.