前路减压植骨钢板内固定治疗颈椎骨折脱位 |
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引用本文: | 陈陆平,陈韬,陈俊勇,蔡学海. 前路减压植骨钢板内固定治疗颈椎骨折脱位[J]. 实用全科医学, 2008, 6(9): 902-903 |
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作者姓名: | 陈陆平 陈韬 陈俊勇 蔡学海 |
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作者单位: | 广东省汕尾市人民医院外一科,516600 |
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摘 要: | 目的探讨前路手术治疗颈椎骨折脱位临床效果。方法本组12例均于前路减压、复位、植骨及ORION钢板内固定,按神经系统功能分级Frankel分级,于手术前、术后进行分级评定。结果12例患者平均随访14.5个月。骨折、脱位复位均满意,椎体高度稳定性良好,植骨术后3~6个月融合。无钢板螺钉松动、断裂等并发症发生。术后Frankel分级改善一级左右。结论严重颈椎骨折脱位伴脊髓损伤选择经前路手术治疗、复位。神经功能的改善及稳定性的重建效果满意。
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关 键 词: | 颈椎 前路途径 植骨 内固定 |
Effect of Anterior Approach Decompression, Bone Grafting and Plate Fixation for Cervical Spine Fracture and Dislocation |
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Affiliation: | CHEN Lu-ping, CHEN Tao, CHEN Jun-yong, et al( Department of Surgery, the People' s Hospital of Shanwei, Guangdong 516600, China) |
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Abstract: | Objective To investigate the me clinical outcomes of anterior approach operation in the treatment of cervical spine fracture and dislocation. Methods This group included 12 cases;the patients underwent anterior decompression,reduction,bone grafting and the ORION plate fixation. The nervous functions were evaluated bv Frankel' s standard before and after operation. Re- stilts 12 patients were followed up for an average of 14.5 months. The results of treating the fractures and dislocations were sat- isfied ,no loss of vertebral height was found ,and the bone was fused in 3-6 months after bone grafting. The complications of plate breaking and screw loosen were not found. After the operations, the patients acquired about 1 Frankel' s grade improvement. Con- clusions The improvement of the nervous function and the stability of reconstruction through selecting the anterior approach op- eration and reduction in the treatment of severe cervical spine fi'acture and dislocation,with spinal cord injured,were satisfied. |
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Keywords: | Cervical spine Anterior approach Bone grafting Internal fixation |
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