寰枢椎脱位后路内固定与复位技术的研究进展

Research progress of posterior internal fixation and reduction technology for atlantoaxial dislocation

寰枢椎后路手术是治疗寰枢椎脱位的常用方法,复位及内固定是手术成功的关键。后路固定技术目前主要包括线缆技术、椎板夹技术、Magerl技术、钉板固定和钉棒固定,复位技术包括后路撑开联合侧块支撑或植骨技术、后路撑开和/或加压复位技术。本文对寰枢椎后路内固定及复位技术的研究现状及优缺点进行综述,旨在为手术方式的选择提供指导。

Posterior atlantoaxial surgery is a common method for treating atlantoaxial dislocation,in which reduction and internal fixation are the keys to successful surgery.Posterior fixation techniques include cable technology,vertebral lamina clamp technology,Magerl technology,screw-plate fixation and screw-rod fixation.Reduction techniques include posterior distraction combined lateral mass spacer or bone grafting technique,and posterior distraction or compression reduction technique.This article summarizes the current research status,advantages and disadvantages of posterior internal fixation and reduction techniques for atlantoaxial dislocation,aiming to provide guidance for the selection of clinical surgical methods.