前路钉板系统在颈椎骨折脱位早期手术中的应用

目的 :评价颈椎前路钉板系统在早期颈椎前路手术中的作用。方法 :对 115例颈椎骨折脱位患者进行颈前路减压、复位、植骨融合、钛钢前路颈椎锁定钢板 (AO系统 ,Spine -tech ,Orion系统 )内固定。结果 :除 1例皮肤伤口感染 ,1例术后出现喉返神经牵拉现象外 ,其余术中、术后无并发症 ,未见螺钉钢板松动、脱出、断裂现象 ,术后病人神经功能得到不同程度的恢复。结论 :早期前路减压手术疗效满意 ,神经功能改善明显 ;前路颈椎钉板系统操作安全、简单、材料相容性好 ,内固定确实 ,为早期行颈脊髓前路手术创造了良好条件

Early operation with anterior screw-plate system for cervical spine fracture and dislocation

Objective To evaluate the function of the cervical spine anterior screw-plate system in the early operation of cervical spine fracture and dislocation. Methods One hundred and fifteen patients with fracture and dislocation of lower cervical spine treated by cervical anterior decompression, reduction, iliac crest autograft, fixed with cervical anterior locking plate (AO, spine-tech, Orion). Results All the cases were free from complication except one patient was complicated with infection of the surgical wound and another one with a transient dysfunction of recurrent laryngeal nerve. Symptom of patients were significantly improved in postoperation and no hardware failure. Conclusions Early anterior decompression operation for cervical fracture and dislocation can achieve satisfactory clinical outcomes, anterior cervical vertebral screw-plate system is safety, simplicity, rigidity and can provide good conditions for early anterior cervical spine operation.