摘要
目的 :观察和评价 Orion及 Zephir两种锁定型钢板在颈椎外科的应用价值和作用。方法 :对 13例颈椎疾病与损伤患者行颈前路减压、植骨融合 ,采用 Orion或 Zephir内固定。结果 :13例中 1例颈椎骨折脱位术后第 10 d死于呼吸衰竭 ,余 12例获半年以上平均 8.6个月随访。除 3例 Frankel A级脊髓损伤患者截瘫无恢复外 ,余病人术后神经功能有不同程度恢复 ,植骨块在 3个月时获骨性愈合。无一例发生钢板断裂 ,螺钉松动等并发症。结论 :Orion及Zephir钢板操作简便 ,能提供固定节段的有效稳定 ,利于植骨块愈合。对颈椎外伤 。
Obiective:TO evaluate the value of Orion and Zephir locking plates in cervical surgery.Methods:13 cases of cervical affection and injury were treated by anterior decompression,bone graft fusion,fixation using Orion or Zephir plates.Resulte:1 case of cervical dislocation die of respiratory failure 10 days after the operation.12 cases were followed-up over 6 months,average period was 8.6 months.Among them were 3 cases of myelon injury with Frankel score A level paraplegia were not relief.Others recovered in vary degrees.Solid fusion were obtained in 3 months and there were no complications related to plate breaking and screw loosening.Conclusion:Orion and Zephir plates are convenient to manipulate and can keep vertebra stable and favourable to osteanagenesis.They have important clinical value in treatment of cervical injury,opisthoporeia and vertebra tumor.
出处
《实用骨科杂志》
2002年第3期161-163,共3页
Journal of Practical Orthopaedics