颈胸段脊柱损伤前路减压和内固定术的作用评价

目的：评价颈胸段前路减压，植骨、Ｏｒｉｏｎ钢板内固定技术在颈胸段脊柱创伤治疗中的作用。方法：对１５例颈胸段脊柱骨折、脱位的患者行颈胸段前路Ｃ７，Ｔ１，Ｃ６．７或Ｃ７－Ｔ１椎体次全切除，植骨及Ｏｒｉｏｎ锁定型颈椎前路钢板固定术。结果：所有患者随访３个月至１年，植骨均在３￣４个月内完全融合，１２例脊髓神经功能有不同程度的改善，未发生钢板螺钉松动，１例出现暂时性声音嘶哑。结论：颈胸段前路减压，植骨，Ｏｒ

Evaluation of anterior decompression and internal fixation on cervicothoracic spine injury

Objective: To evaluate the effect of anterior decompression, reconstruction and stability technique in treatment of cervicothoracic spine trauma. Methods: Fifteen cases of cervicothoracic fracture were performed on anterior subtotal vertebraectomy at C 7,T 1,C 6,7 or C 7 T 1 segment, bone graft and Orion anterior cervical locking plate fixation in cervicothoracic spine. Fifteen cases were followed up for 3 12 months. Results: Complete fusion of bone graft occurred within 3 4 months in all cases. There were no complication of loosening and breaking of the plate and the screws. Spinal cord neurological function in twelve cases were improved to different degrees. Transient voice hoarse occurred in one case. Conclusion: Anterior decompression, bone graft and Orion locking plate fixation are useful for treating spine and spinal cord trauma in cervicothoracic segment, and is helpful for the bone graft healing, reconstruction and stability in cervicalthoracic spine.