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| 外侧块螺钉内固定术治疗颈椎骨折脱位 | |
| 引用本文： | 吴文华,圆尾宗司,傅小杯,李炎川,曾昭浚,林其仁,李毅中,吴伟峰. 外侧块螺钉内固定术治疗颈椎骨折脱位[J]. 中国组织工程研究与临床康复, 1999, 3(9): 1981 |
| 作者姓名： | 吴文华 圆尾宗司 傅小杯 李炎川 曾昭浚 林其仁 李毅中 吴伟峰 |
| 作者单位： | 1. 福建医科大学附属第二医院,福建泉州,362000 2. 日本兵库医科大学矫形外科 |
| 摘 要： | 目的： 探讨外侧块螺钉内固定术治疗颈椎骨折脱位的临床应用、手术要点和早期康复效果。方法：１９９４ 年至今，采用外侧块螺钉内固定术治疗颈椎骨折脱位２３ 例。结果：术后神经功能恢复有效率８２ ．６ ％ ，植骨融合率１００％ 。无损伤神经血管、术后感染、内固定物断裂等并发症。结论：外侧块螺钉内固定治疗颈椎骨折脱位在后方减压的同时，能进行坚强的内固定，适于伴有后方结构损伤的中下颈椎骨折脱位的内固定治疗，有利于促进脊髓功能的恢复。 |
| 关 键 词： | 颈椎 骨折-脱位 外侧块螺钉 内固定 |
| 修稿时间： | 1999－06－30 |
Treatment for fracture-dislocation of cervical spine with lateral mass screw fixation |
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| W U Wen_hua ,Souji Maruo ,F U Xiao_bei ,et al.. Treatment for fracture-dislocation of cervical spine with lateral mass screw fixation[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 1999, 3(9): 1981 | |
| Authors: | W U Wen_hua Souji Maruo F U Xiao_bei et al. |
| Affiliation: | W U Wen_hua 1,Souji Maruo 2,F U Xiao_bei 1,etal.1. Department of Orthopaedics,2nd Affiliated Hospital,Fujian Medical University,Quanzhou 362000,China,2 . Japan bing Ku Medical university[ |
| Abstract: | Objective : To review the preliminary experience on patients with fracture - dislocation ofcervicalspinetreated bylateral massscrewfixation and bone graft. The main pointofprocedure,surgicaltechnique and clinicalefficacy wasdiscussed. Method : From 1994to present, 23 patients with fracture - dislocation ofcervicalspine were operated bylateralmass screw fixation and bone graft. Results: 82 .6 % of patients had improvement oftheir neurogical functions. The rate offusion was 100% . There were no major complications such as neural or vascularinjuries or breakage ofimplants orinfec tion. Conclusion: This method will makerigidinternalfixation,even afterposteriordecompressionis performed. Itis usefulformanagementoffracture- dislocationof middleorlowercervicalspinecomplicated with posteriorelementinjuryandfacilitatetherecovery ofspinalfunction.[ |
| Keywords: | cervicalspine fracture- dislocation lateral massscrew internalfixation |
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