| 后路多轴螺钉-棒系统治疗上颈椎骨折脱位 |
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| 引用本文： | 陈梓锋,林斌,丁真奇,康两期.后路多轴螺钉-棒系统治疗上颈椎骨折脱位[J].临床骨科杂志,2009,12(4):364-366. |
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| 作者姓名： | 陈梓锋 林斌 丁真奇 康两期 |
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| 作者单位： | 解放军第175医院全军创伤骨科中心,厦门大学附属东南医院骨科医院,福建,漳州,363000 |
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| 摘 要： | 目的探讨后路多轴螺钉-棒系统经椎弓根内固定治疗寰枢椎骨折的疗效。方法11例上颈椎骨折患者接受C1后弓与C2椎弓根多轴螺钉-棒系统固定融合术。术前均行X线片、CT三维重建和MRI检查。结果所有螺钉位置良好,骨折与脱位复位固定满意,无椎动脉、脊髓损伤等并发症。11例均获随访,时间3～21（13±2.1）个月,X线片显示寰枢关节无复位丢失,全部患者获得坚固融合。结论后路多轴螺钉-棒系统治疗C1-2骨折脱位疗效满意。
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| 关 键 词： | 寰枢椎 脊柱骨折 脱位 多轴螺钉-棒系统 骨折固定术 内 后路 |
Posterior fixation of atlantoaxial fracture dislocation using polyaxial screw-rod system through pedicles |
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| CHEN Zi-feng,LIN Bin,DING Zhen-qi,KANG Liang-qi.Posterior fixation of atlantoaxial fracture dislocation using polyaxial screw-rod system through pedicles[J].Journal of Clinical Orthopaedics,2009,12(4):364-366. |
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| Authors: | CHEN Zi-feng LIN Bin DING Zhen-qi KANG Liang-qi |
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| Institution: | Dept of Orthopaedics;the 175th Hospital of PLA;Southeast Orthopaedic Hospital of Xiamen University;Zhangzhou;Fujian 363000;China |
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| Abstract: | Objective To approach the effectiveness of atlantoaxial fixation using polyaxial screw-rod system through pedicles.Methods 11 cases suffered from atlantoaxial fracture dislocation accepted polyaxial screw-rod fixation and fusion by inserting screws in posterior arch of C_1 and pedicles of C_2. All accepted radiography,CT scan and three-dimensional reconstruction and MRI check.Results All Polyaxial screws were in good position.All cases with fracture and dislocation got satisfactory reduction. There was no c... |
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| Keywords: | atlanto-axial vertebrae spinal fractures dislocation polyaxial screw-rod system fracture fixation internal posterior approach |
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