摘要
目的探讨合并椎间盘损伤Hangman骨折的外科治疗方法及机制。方法39例Hangman骨折伴C2.3椎间盘损伤,行颈椎前路C2.3椎间隙融合、Zephir颈前路钛板固定术,其中8例植入SynCage。结果随访2~6年,平均3年7个月,35例颈痛症状消失,4例残留轻度颈痛症状,未出现神经症状加重、植骨块移位、吸收和切口感染等并发症,术后3~6个月C:,获得骨性融合。结论合并椎间盘损伤的Hangman骨折是一种特殊的骨折类型,颈椎前路融合术符合其病理生理特点。
Objective To explore the outcome and mechanism of surgical treatment for Hangman' s fracture combined with intervertebral disc injury. Methods A total of 39 cases of Hangman' s fracture combined with C2.3 intervertebral disc injury were treated with C2.3 interbody fusion and titanium plate fixation by cervical anterior approach. SynCage implant was applied in 8 cases of them. Results The patients were followed up for 2-6 years ( average 3.6 years). Neck pain disappeared in 35 cases but 4 still had slight neck pain, with no aggravated neurological symptom, displacement and absorption of bone graft or infection of incisional wound. C2.3 fusion was achieved at 3-6 months after operation. Conclusion Hangman' s fracture combined with intervertebral disc injury is a special kind of fracture and anterior cervical fusion is consistent with its pathophysiological characteristics.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2007年第9期666-668,共3页
Chinese Journal of Trauma
关键词
脊柱骨折
颈椎
枢椎
椎间盘
手术
外科
Spinal fractures
Cervical vertebrae
Odontoid vertebrae
Intervertebral disc
Surgical procedures, operative