颈椎前路减压带锁钛板内固定治疗颈椎损伤

目的评价颈椎前路减压带锁钛板内固定治疗颈椎骨折并脊髓损伤的临床疗效。方法对46例颈椎骨折并脊髓拟伤的患皙施行颈椎前路臧压、自体髂骨植骨和颈椎带锁钛板内固定。术后定期复查X线片，判定脊髓功能恢复情况，结果随访41例，平均随访时间2．5年。术后3个月植骨块获得骨性融合，颈椎椎间高度和生理曲度维持满意，无内置物并发症，脊髓功能平均提高1级。结论颈椎骨折并脊髓损伤前路减压、应用带锁钛板内崮定有利植骨融合和事建颈椎稳定。

Treatment of cervical injury by anterior decompression and locking plate internal fixation

Objective To evaluate the results of the treatment of cervical fracture with cervical spinal cord injury by anterior decompression and locking plate internal fixation. Methods 46 cases were treated by anterior decompression, iliac crest autograft and locking titanium plate internal fixation. All eases were reexamined by X-ray film postoperatively. The functions of the spinal cord were evaluated with Frankle classification. Results 41 eases were followed up for an average of 2.5 years. The bone grafts fused completely after 3 months. All cases got satisfactory cervical intervertebral space and cervical lordosis recovery. There was no complication of hardware. The function of the spinal cord was improved 1 grade on average. Conclusions The internal fixation with locking titanium plate with antenor decompression can significantly promote the fusion of bone graft and restore cervical stability.