经颈椎椎弓根内固定行枕颈融合17例报告

Study of Transpedicular Occipital-cervical Fusion (Report of 17 Cases)

目的 介绍一种新的枕颈融合内固定方法。方法 17例患者 (齿状突骨折 1例 ,C1、C2肿瘤 16例 )经颈椎椎弓根内固定行枕颈融合 ,手术切除肿瘤。结果 17例患者平均随访 2年 3个月 ,均固定良好。结论 经颈椎椎弓根内固定行枕颈融合只要术前、术中精确定位 ,仔细操作 ,均可获得良好的临床疗效。

Objective To introduce a new method for occipital cervical fusion. Method Seventeen patients, among them C1,C2 tumor patient 16, all were fixed by transpedicular occipital cervical fusion before cutting off tumor. Another case was odontoid process fracture. Results Seventeen patients were visited for 2 years and 3 months on average, and all were fixed good.The patient whose tumor was transfered from the cancer of breast died after half a year for the cancer was extensivly transfered, not caused by the surgical operation method. Conclusion Stability of unstable patients or patients with tumor at occipital cervical area can be re constructed by transpedicular occipital cervical fusion. Before and during operation the precisive position must be decided and operation shoold be carried out carefully.Then good clinical treatment results can be abtained.