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枢椎齿状突骨折的治疗术式选择

A CHOICE OF PROCEDURE FOR FRACTURES OF THE ODONTOID PROCESS
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摘要 目的探讨枢椎齿状突骨折的治疗方法及效果。方法回顾性研究19例枢椎齿状突骨折病人,分别采用Halo-vest外固定术、前路空心螺钉固定术、后路经关节突侧块螺钉加钢丝固定术、后路钢丝固定术、寰枢融合术。采用JOA评分标准评定神经功能恢复情况,影像学检查评定植骨融合情况。结果19例病人经术后5~30月的随访,所有病人骨折均已愈合或植骨融合,无脊髓神经损伤加重现象,所有内固定均未出现松动、断裂及脱出现象。结论齿状突骨折术式的选择取决于病人的实际情况,包括年龄、骨折类型、骨折成角、骨折移位等情况,以及术者的临床经验。 Objective To evaluate the methods and efficacy of therapy for fractures of odontoid process. Methods A retrospective review of 19 cases with odontoid fractures was done. The procedures perfomed for the cases included Halo-vest, Magerl +Gallie, Gallie, or atlantoaxial fusion. Functional recovery of the nerve was assessed by JOA score and fusion of the bone graft by imageology. Results Postoperative follow up for five to 30 months showed the fractures were healed or bone graft fusioned in all the 19 cases. No aggravation of spinal nerve damage was recorded. No loosened, broken or prolapsed internal fixation was found. Conclusion The option of surgical procedures for fracture of odontoid process mainly depends on the patient's age, classification, angulation and displacement of the fracture as well as the experience of the surgeon.
出处 《齐鲁医学杂志》 2009年第4期330-332,共3页 Medical Journal of Qilu
关键词 齿状突 骨折 外科手术 治疗结果 Odontoid Fracture Surgical procedure Treatment outcome
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参考文献10

  • 1ANDERSON L D, D' ALONZO R T. Fractures of the odontold process of the axis[J]. Bone Joint Surg Am, 1974,56:1663-1674.
  • 2EYSEL P, ROOSEN K. Ventral or dorsal spondylodesis in dens basal fracture a new classification for choice of surgical approach[J]. Zentralbl Neurochir, 1993,54 : 159-165.
  • 3WHITE AA Ⅲ, PANJABI MM. Clinical Biornechanics of the spine[M]. 2nd. Philadelphia: JB Lippincott, 1990: 610-611.
  • 4BOHLER J. Anterior stabilization for acute fractures and no- nunions of the dens[J]. J Bone Joint Surg Am, 1982,64 (1):18-27.
  • 5俞杨,邱勇,王斌,朱泽章,钱邦平,朱锋,马薇薇.上颈椎不稳的内固定术式选择[J].中华创伤杂志,2007,23(6):421-424. 被引量:4
  • 6ECHIGOYA N, HARATA S, UEYAMA K, et al. Treat- ment for fractures of the odontoid process[J]. J Bone Joint Surg(Br), 2003,85:33.
  • 7金大地,陈建庭,瞿东滨,张浩,江建明,王吉兴,陈祥鋆.颈前路中空螺钉直接内固定治疗齿突骨折[J].中华骨科杂志,1999,19(8):453-456. 被引量:88
  • 8LEE S C, CHEN J F, LEE S T. Management of the acute odontoid fractures with single anterior screw fixation[J]. J Clin Neurosci, 2004,11 (8) :890-895.
  • 9HARRMS J, MELCHER R P. Posterior C1, C2 fusion with polyaxial screw and rod fixation[J]. Spine, 2001,26 (22):2467-2471.
  • 10张勇,邹云雯,叶发刚,王志杰,乔光曦,于腾波.手术治疗颈胸腰椎损伤病人58例分析[J].青岛大学医学院学报,2001,37(4):273-273. 被引量:1

二级参考文献14

  • 1王超,阎明,周海涛,党耕町.难复性寰枢关节脱位的手术治疗[J].中华骨科杂志,2004,24(5):290-294. 被引量:79
  • 2尹庆水,艾福志,章凯,夏虹,吴增晖,昌耘冰,权日,麦小红,刘景发.经口咽前路寰枢椎复位钢板内固定植骨融合治疗上颈椎疾患[J].中国脊柱脊髓杂志,2006,16(1):33-37. 被引量:24
  • 3Code D, Wilson JA, Kelly DL Jr, et al. Treatment of traumatic spondylolisthesis of the axis with nonrigid immobilization: a review of 64 cases. J Neurosurg, 1996, 85:550-554.
  • 4Vaccaro AR, Madigan L, Bauerle WB, et al. Eealy halo immobilization of displaced traumatic spondylolisthesis of the axis. Spine, 2002, 27:2229 - 2233.
  • 5Henriques T, Cunning, ham BW, Olerud C, et al. Biomechanieal comparison of five different atlantoaxial posterior fixation techniques. Spine, 2000, 25:2877-2883.
  • 6Meleher RP, Puttlitz CM, Kleinstueck FS, et al. Biomechanie.al testing of posterior atlantoaxial fixation techniques. Spine, 2002, 27 : 2435 - 2440.
  • 7Richter M, Schmidt R, Claes I, et al. Posterior atlantoaxial fixation: biomechanical in vitro comparison of six different techniques. Spine, 2002, 27 : 1724 - 1732.
  • 8Abumi K, Takada T, Shono Y, et al. Posterior oceipitocervical reconstruction using cervical pedicle screws and plate - rod systems. Spine, 1999, 24:1425 - 1434.
  • 9N. G. Rainov,V. Heidecke,W. Burkert. Direct anterior fixation of odontoid fractures with a hollow spreading screw system[J] 1996,Acta Neurochirurgica(2):146~153
  • 10杨礼庆,王欢,王海义,张云歧,付勤,杨军,安春厚.GM-1治疗急性脊髓损伤[J].中国脊柱脊髓杂志,1999,9(2):104-105. 被引量:21

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