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新型头环石膏固定联合手术治疗小儿寰枢椎旋转固定性半脱位
引用本文:张功林,葛宝丰,张军华,王清,曾述强. 新型头环石膏固定联合手术治疗小儿寰枢椎旋转固定性半脱位[J]. 中国骨与关节损伤杂志, 2000, 15(6): 404-406
作者姓名:张功林  葛宝丰  张军华  王清  曾述强
作者单位:解放军兰州军区总医院脊柱外科,兰州市,730050
摘    要:目的 介绍一种新型头环石膏背心固定器 ,并报告联合手术治疗小儿寰枢椎旋转固定性半脱位的疗效。方法 用这种技术治疗 8例小儿寰枢椎旋转固定性半脱位 ,根据临床需要 ,此固定器可行屈曲、伸展、侧屈和中立位撑开固定。结果 本组没有明显的手术并发症 ,经临床观察和随访 ,治疗效果满意。结论 此固定器是颈椎外科中很有效的一种外固定方法 ,具有操作简单、固定牢固和易于调整的优点。适宜联合手术治疗小儿寰枢椎旋转固定性半脱位。

关 键 词:颈椎  小儿  半脱位  固定器

Treatment of Rotatory Fixation Atlanto-axial Subluxation in Children with Combination of a New Type Halo-cast Fixation Apparatus and Operation
ZhangGonglin,GeBaofeng,ZhangJunhua,et al.. Treatment of Rotatory Fixation Atlanto-axial Subluxation in Children with Combination of a New Type Halo-cast Fixation Apparatus and Operation[J]. Chinese Journal of Bone and Joint Injury, 2000, 15(6): 404-406
Authors:ZhangGonglin  GeBaofeng  ZhangJunhua  et al.
Affiliation:ZhangGonglin,GeBaofeng,ZhangJunhua,etal.DepartmentofSpinalSurgery,LanzhouGeneralHospitalofPLA,Lanzhou730 0 5 0
Abstract:Objective Tointroduceeffectfortreatmentofrotatoryfixationatlanto -axialsubluxationinchildrenwithcombinationofa newtypehalo -castfixationapparatusandoperation .Methods Eightpatientswithrotatoryfixationatlanto -axialsubluxationinchil drentreatedbythistechnique .Accordingtodemands ,thefixationapparatuscanbeappliedtodistractfixationinflexion ,extension ,lat eralflexionandneutralmode .Results Therewerenosignificantcomplicationsinthisoperativeseries .Clinicalobservationandfollowed -upstudydemonstratedthatitstherapeuticeffectwassatisfactory .Conclusion Thefixationapparatusisaeffectivemethodforexter nalimmobilizationofthecervicalspinalsurgery .Theadvantagesofthefixationapparatusareasimpleprocedure ,stablefixationandeasy adjudtment.Combinationofthemethodandoperationaresuitablefortreatmentofrotatoryfixationatlanto -axialsubluxationinchil dren .
Keywords:Cervicalspine  Children  Subluxation  Fixationappara
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