颈前路植骨钢板内固定治疗创伤性枢椎前滑移

Traumatic spondylolishthesis of axis treated with anterior cervical spine plate fixation

目的评价C2、C3椎体间植骨、钢板内固定治疗创伤性枢椎前滑移的临床价值。方法8例创伤性枢椎前滑移患者行颈前路手术复位、椎间盘切除减压、自体髂骨植骨、钢板内固定术,平均随访1年,观察患者术后颈椎生理高度、曲度重建和颈椎稳定性、运动情况。结果8例患者均获得完全的枢椎复位,C2、C3椎体在术后16周达到骨性融合,颈椎生理高度、曲度得以重建,旋转、屈伸功能良好,无钢板螺钉并发症。结论颈前路钢板内固定是治疗创伤性枢椎前滑移的有效方法。

Objective To evaluate clinical results of anterior plate internal fixation in the treatment of traumatic spondylolisthesis of axis (TSA). Methods 8 cases of TSA were managed with cervical anterior reduction, disc resection,decompression, interbody fusion and ORION plate fixation. The height, curvature, stability and movement of cervical spine were analyzed. Results C2 was completely reduced and C2 and C3 were fused 16 weeks after operation in all 8 cases. The height, curvature and stability of cervical spine were reconstructed, the spine movement maintained excellently, and no complications concerning plate or screw were found. Conclusion The anterior cervical spine plate fixation is an effective method to treat TSA.