前路带锁钢板内固定治疗下颈椎骨折脱位

目的观察颈椎骨折脱位前路减压、融合、带锁钢板螺丝钉内固定治疗的临床效果。方法28例颈椎骨折脱位的患者均行前路减压、复位、植骨、带锁钢板内固定治疗，其中采用自体三面髂骨皮质骨23例，钛网植骨5例，神经功能按Frankel分级标准于术前及最后一次随访时进行评定。结果全部病例获随访至少8个月，平均随访10个月，骨折脱位复位满意，植骨块均获融合，无钢板螺钉钛网松动、断裂、退出、下沉等并发症。术后最后一次随访Frankel分级平均改善1．2级。结论颈椎骨折脱位前路减压、复位、植骨、带锁钢板内固定治疗可获得满意复位和即刻稳定．有利于脊髓功能的恢复。

Anterior cervical fusion and locking plate stabilization for cervical fracture and dislocation

Objective To observe the results of fracture and dislocation of cervical spine treated by anterior decompression, fusion and locking plate. Methods 28 patients were treated by anterior discompression, followed by placement of auto-iliac graft or titanium cage with autogeneous graft from the vertebral bodies,23 and 5 respectively, then an anterior cervical locking plate was planted. The function of spinal cord was evaluated with Frankel classification before the operation and in final follow-up. Results All the cases were followed up for no less than 8 months. There were no hardware failure and related complications. The Frankel classification improved average i. 2 grade in the final follow-up. Conclusion An ideal reduction and immediate stability could be obtained by combining anterior cervical locking plate with auto-iliac graft or titanium mesh cage for cervical fracture and dislocation. The technique was beneficial for the functional recovery of the spinal cord of patients.