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椎弓根钉棒治疗颈椎骨折脱位疗效分析
引用本文:尤从新,李盛华,樊成虎,王玉泉,唐晓栋,周君.椎弓根钉棒治疗颈椎骨折脱位疗效分析[J].临床骨科杂志,2011,14(3):247-249.
作者姓名:尤从新  李盛华  樊成虎  王玉泉  唐晓栋  周君
作者单位:1. 甘肃中医学院骨伤系,甘肃,兰州,730000;甘肃省中医院脊柱骨一科,甘肃,兰州,730050
2. 甘肃省中医院脊柱骨一科,甘肃,兰州,730050
摘    要:目的探讨椎弓根钉棒系统经椎弓根内固定治疗颈椎骨折脱位的疗效。方法 38例颈椎损伤患者术前复位牵引,采用颈椎前后路及后路切开复位、自体髂骨植骨及椎弓根钉棒带锁钢板内固定术。结合术前和术后1年Frankel神经功能评估方法评价手术疗效。结果 38例均获得随访,时间12~34个月。无手术相关并发症,无神经损伤加重现象。Frankel分级:B级11例恢复至C级9例、D级1例,1例无恢复;C级18例恢复至D级15例、E级3例;D级9例均恢复至E级。结论椎弓根钉棒系统治疗颈椎骨折脱位疗效满意。

关 键 词:颈椎  脊柱骨折  脱位  椎弓根钉棒系统  骨折固定术  

Pedicle screw-rod system in the treatment of cervical spine fracture
YOU Cong-xin,LI Sheng-hua,FAN Cheng-hu,WANG Yu-quan,TANG Xiao-dong,ZHOU Jun.Pedicle screw-rod system in the treatment of cervical spine fracture[J].Journal of Clinical Orthopaedics,2011,14(3):247-249.
Authors:YOU Cong-xin  LI Sheng-hua  FAN Cheng-hu  WANG Yu-quan  TANG Xiao-dong  ZHOU Jun
Institution:1Dept of Orthopaedic Traumatology,Gansu TCM College,Lanzhou,Gansu 730000,China;2Setion Ⅰ,Dept of Spinal Surgery,TCM Hospital of Gansu Province,Lanzhou,Gansu 730050,China)
Abstract:Objective To approach the effect of cervical spine fracture and dislocation treated by pedicle screw-rod system.Methods A retrospective review was made in 38 cervical fractures.With preoperative traction,all patients were treated by cervical anterior and posterior open reduction,autogenous iliac bone graft,and cervical spine locking plate fixation.All the cases were evaluated according to Frankel criteria of the neurol function preoperatively,and 12 months after operation.Results 38 cases were followed up,a...
Keywords:cervical vertebra  spinal fractures  dislocation  screw-rod system  fracture fixation  internal  
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