| 不稳定Hangman骨折颈椎前后路融合金属植入物内固定方式的对比 |
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| 引用本文： | 张沛,刘斌,吴一民,贺永雄,常志强,祝勇,于宝龙.不稳定Hangman骨折颈椎前后路融合金属植入物内固定方式的对比[J].中国组织工程研究与临床康复,2011,15(39):7295-7298. |
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| 作者姓名： | 张沛 刘斌 吴一民 贺永雄 常志强 祝勇 于宝龙 |
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| 作者单位： | 内蒙古医学院第二附属医院颈椎外科,内蒙古自治区呼和浩特市,010030 |
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| 摘 要： | 背景:对于Hangman骨折,采用颈前路融合钢板置入内固定和后路C2椎弓根、C3侧块钉棒置入内固定,目前存在争议。目的:比较颈前路融合钢板置入内固定和后路C2椎弓根、C3侧块钉棒置入内固定治疗Hangman骨折的临床效果。方法:将26例Hangman骨折患者按随机数字表法分为2组,分别行颈前路减压植骨钛合金钢板置入内固定与后路C2椎弓根、C3侧块钉棒置入内固定治疗。结果与结论:与后路C2椎弓根、C3侧块钉棒置入内固定治疗比较,颈前路减压植骨钛合金钢板置入内固定治疗手术时间更短,术中出血与术后引流量更少(P<0.05)。两组术中、术后并发症差异无显著性意义。提示与颈椎后路手术内固定相比,颈椎前路融合植入物内固定手术治疗Hangman骨折手术时间短,术中出血量少,术后颈椎功能恢复良好。
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| 关 键 词： | 枢椎 颈椎骨折 前路融合 后路融合 内固定 |
Comparison of anterior and posterior operation treatment for Hangman's fracture |
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| Zhang Pei,Liu Bin,Wu Yi-min,He Yong-xiong,Chang Zhi-qiang,Zhu Yong,Yu Bao-long.Comparison of anterior and posterior operation treatment for Hangman's fracture[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(39):7295-7298. |
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| Authors: | Zhang Pei Liu Bin Wu Yi-min He Yong-xiong Chang Zhi-qiang Zhu Yong Yu Bao-long |
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| Institution: | Zhang Pei,Liu Bin,Wu Yi-min,He Yong-xiong,Chang Zhi-qiang,Zhu Yong,Yu Bao-long Department of Cervical Surgery,Second Affiliated Hospital of Inner Mongolia Medical College,Hohhot 010030,Inner Mongolia Autonomous Region,China Zhang Pei,Master,Associate chief physician,Associate professor,Master's supervisor,Department of Cervical Surgery,China |
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| Abstract: | BACKGROUND:Posterior C2-3 pedicle screws fixation have been used in internal fixation of Hangman's fracture.C2-3 anterior fusion and plate fixation has been used recently.OBJECTIVE:To evaluate the clinical effects of anterior versus posterior C2-3 pedicle screws on Hangman's fracture.METHODS:Twenty-six patients with Hangman's fracture were randomized into two groups,treated with anterior decompression bone fusion plus titanium plate implantation or posterior C2 pedicle screw plus C3 lateral mass screw-rod i... |
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