下颈椎脱位早期复位前路内固定疗效分析

Analysis of Dislocation of the Lower Cervical with Early Reset Combined Internal Fixtion of Anterior Fusion

目的观察下颈椎脱位患者早期复位结合前路内固定手术治疗的临床效果。方法选择下颈椎骨折脱位早期行闭合复位(颅骨牵引复位和在全麻下行闭合牵引复位)以及前路开放撬拨椎体复位,并予以椎间植骨融合内固定64例。结果闭合复位成功54例,其中颅骨牵引复位33例,全麻下闭合手法牵引复位21例;在前路手术中牵引下行旋转撬拨复位成功10例。48例患者获8～30个月随访,颈椎复位完全,植骨均融合,无内固定松动、断裂及脱出,神经损伤均有恢复,脊髓F ranke l分级平均提高1级。结论早期复位结合前路内固定手术治疗下颈椎骨折脱位是一种安全、有效的治疗方法。

objective To observe the clinical effect with early reset combined internal fixation of anterior fusion in treatment of patients with dislocation of the lower cervical.Methods Dislocation of the lower cervical early closed traction reset（Skull traction reset and general anesthesia closed traction reset） and open surgery Skiing dial vertebral reset,and the vertebral between bone graft fusion fixation 64 cases.Results Closed reduction 54 cases of success,among skullt traction reset 33 cases,general anesthesia closed traction reset 21 cases,10 cases in the way traction and rotating prying reset success.There are 48 cases have 8~30 months follow-up,All patients were with cervical reset completely,fusion bone graft,no internal fixation loose,fracture,nerve damage in different degree recovery.Spinal cord Frankel grading by an average of grade 1.Conclusion Early traction reset combine fixation surgery therapies,make spinal cord compression time shorten,favors the neural function recovery,complication less,recover faster,effective relieve nursing difficulty.It is a safe and effective treatment.