Atlas钛缆治疗上颈椎损伤

Application of Atlas Titanium Cable in the Treatment of Injuries of Upper Cervical Spine

目的 对钛缆治疗上颈椎损伤所致C1、2 颈椎不稳或枕颈部不稳治疗的临床经验进行总结。方法 应用钛缆系统 ,对新鲜齿状突骨折 4例 ,陈旧性齿状突骨折 4例 ,单纯寰椎横韧带断裂C1、2 脱位 2例 ,均作了Brooke法C1、2 植骨内固定 ;因Jefferson骨折合并横韧带断裂 2例 ,在C1、2 固定基础上作枕颈融合。并进行临床及影像学分析。结果 随访 6～ 2 4个月 ,平均随访 8 4个月 ,所有病例用钛缆内固定后均达到植骨融合。 4例合并神经学症状均有明显改善。结论 应用钛缆系统作后路C1、2

Objective To present the experience of application of Atlas titanium cable system in the treatment of C 1～2 or occipito-cervial instability caused by trauma.Methods A retrospective study was conducted on 12 cases of upper cervical injuries which include 4 cases of fresh dentoid fractures,4 cases of old dentoid fractures,2 cases of ruptures of transverse ligaments with C 1～2 dislocation, 2 cases of Jefferson fractures with rupture of transverse ligament.Results By a followed-up observation of 6 to 24 months,averaged 8 4 months,all cases got excellent bony fusion. The neurological deficit complicated in 4 cases were significantly improved.Conclusion Alast Titanium Cable system is a simple and reliable technique in C 1～2 and occipito-cervical fusion