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| 颈前路中空螺钉内固定治疗齿状突骨折的疗效 | |
| 引用本文： | 卢旻鹏,权正学,欧云生,蒋电明. 颈前路中空螺钉内固定治疗齿状突骨折的疗效[J]. 第三军医大学学报, 2007, 29(17): 1721-1723 |
| 作者姓名： | 卢旻鹏 权正学 欧云生 蒋电明 |
| 作者单位： | 重庆医科大学附属第一医院骨科,重庆,400016;重庆医科大学附属第一医院骨科,重庆,400016;重庆医科大学附属第一医院骨科,重庆,400016;重庆医科大学附属第一医院骨科,重庆,400016 |
| 摘 要： | 目的 评价颈前路中空螺钉内固定在治疗齿状突骨折中的应用及效果.方法 对13例齿状突骨折的患者,在透视监视下行颈前路中空螺钉内固定术并分析其结果.结果 13例患者中,术后除2例患者出现短暂吞咽困难外,余均获得了满意疗效.随访9～18个月,平均12.5个月,齿状突骨折愈合良好,无不稳定或假关节形成.结论 颈前路中空螺钉内固定是治疗齿状突骨折的一种有效方法,精确的操作技术和恰当的适应证选择是手术成功的关键. |
| 关 键 词： | 齿状突 骨折 空心螺钉 内固定 |
| 文章编号： | 1000-5404（2007）17-1721-03 |
| 修稿时间： | 2006-09-07 |
Direct anterior fixation of odontoid fractures with hollow screw |
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| LU Min-peng,QUAN Zheng-xue,OU Yun-sheng,JIANG Dian-ming. Direct anterior fixation of odontoid fractures with hollow screw[J]. Acta Academiae Medicinae Militaris Tertiae, 2007, 29(17): 1721-1723 | |
| Authors: | LU Min-peng QUAN Zheng-xue OU Yun-sheng JIANG Dian-ming |
| Affiliation: | Department of Orthopedics, The First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China |
| Abstract: | Objective To evaluate the application and efficacy of direct anterior fixation of odontoid fractures with hollow screw.Methods From March 2001 to January 2006,13 patients with odontoid fractures were treated by direct anterior fixation with hollow screw.Results Of the 13 patients,except 2 patients with postoperative temporary dysphagia, 11 had excellent results.The follow-up was ranged from 9 to 18 months,with an average of 12.5 months.The odontoid fractures acquired fusion,and no unstability or pseudoarthritis was found. Conclusion The technique of direct anterior fixation with hollow screw is an efficacious means in the treatment of odontoid fractures.The meticulous surgical technique along with appropriate patients selection will be the key to successful surgery. |
| Keywords: | odontoid fracture hollow screw interna1 fixation |
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