一期前后联合手术减压固定治疗严重下颈椎骨折脱位效果观察

The Dislocation Efficacy of Ⅰ Before and After Surgical Decompression and Fixation in Combined Treatment With Severe Lower Cervical Fracture

目的：对一期前后联合手术减压固定治疗严重下颈椎骨折脱位效果观察。方法选取我院2013年2～8月收治的下颈椎骨折脱位患者26例，采用一期前后联合手术减压固定的手段进行治疗与护理。结果手术之后的3～16个月，对患者实行跟踪调查，神经功能得到了较大的改善，都在一级以上，没有出现与手术相关的并发症，也没有出现内植物松动与断链的病例，患者恢复良好。结论一期前后联合手术减压固定对下颈椎骨折脱位的治疗具有一定的效果，有利于患者的快速康复。

Objective To observe the effect of treating severe fracture and dislocation of the lower cervical spine with primary combined anterior-posterior decompression and fixation.Methods26 cases of patients with fracture and dislocation of the lower cervical spine admitted in our hospital at the time of February 2013 to August 2013 were chosen for study,they received the treatment of primary combined anterior-posterior decompression and fixation and the relevant nursing intervention.Results During the time of 3 to 16 months after the operation,tracking surveys of the patients were carried out, neurological functions of the patients were greatly improved at least one grade,there was no complications associated with the surgeries,also no cases of loosening of the implant and chain scission,the patients made a good recovery.Conclusion Primary combined anterior-posterior decompression and fixation has a certain effect in the treatment of lower cervical fractures and dislocations,it is beneficial to the rapid rehabilitation of the patients.