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前路手术治疗严重下颈椎骨折脱位
引用本文:袁文,贾连顺,等.前路手术治疗严重下颈椎骨折脱位[J].中国脊柱脊髓杂志,2001,11(1):23-25.
作者姓名:袁文  贾连顺
作者单位:第二军医大学附属长征医院骨科
基金项目:本课题受上海市卫生系统百人计划基金资助,项目编号:98BR019
摘    要:目的:探讨前路手术在治疗严重下颈椎骨折脱位中的价值。方法:32例严重下颈椎骨折脱位均在全麻下行颈前路减压、复位、自体髂骨植骨及AO颈椎带锁钢板固定。结果:完全复位17例,复位90%以上15例,平均随访28个月,颈椎椎间高度和生理曲度维持良好,无钢板螺钉并发症,21例脊髓不完全损伤者神经功能获得改善。结论:严惩下颈椎骨折脱位选择前路手术治疗可获得满意的复位和即刻稳定性的重建。

关 键 词:下颈椎  骨折  脱位  前路途径  内固定  治疗
文章编号:1004-406X(2001)-01-0023-03
修稿时间:2000年1月14日

Surgical treatment of severe lower cervical fractures and dislocations by anterior approach
YUAN wen,JIA Lian shun,CHEN De yu,et al//Chinese Journal of Spine and Spinal Cor.Surgical treatment of severe lower cervical fractures and dislocations by anterior approach[J].Chinese Journal of Spine and Spinal Cord,2001,11(1):23-25.
Authors:YUAN wen  JIA Lian shun  CHEN De yu  //Chinese Journal of Spine and Spinal Cor
Abstract:Objective:To discuss the value of surgical treatment of severe lower cervical fractures and dislocations by anterior approach.Method:Thirty-two cases of severe lower cervical fractures and dislocations were involved.All cases were operated in general anaesthesia by anterior decompression,reduction,auto-iliac graft and AO cervical spine locking plate fixation.Result:17 cases got completely reduction,15 obtained more than 90% reduction.The follow-up was 28 months in average,the normal intervertebral height and lordosis were maintained,there were no plates and screws complications,and 21 cases with incompletely neurological defect got improved postoperatively.Conclusion:For severe lower cervical fractures and dislocations,an ideal reduction and immediately stability can be obtained by choosing anterior approach surgery.
Keywords:Lower cervical spine  Fracture  Dislocation  Anterior approach  Internal fixation
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