| 后路融合术治疗不稳定寰椎爆裂性骨折 |
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| 引用本文： | 郭翔,倪斌,谢宁,王新伟,李松凯,周凤金,郭群峰.后路融合术治疗不稳定寰椎爆裂性骨折[J].中国骨与关节损伤杂志,2011,26(7):577-579. |
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| 作者姓名： | 郭翔 倪斌 谢宁 王新伟 李松凯 周凤金 郭群峰 |
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| 作者单位： | 上海长征医院脊柱外科,上海市,200003 |
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| 摘 要： | 目的 评价后路融合术(枕颈融合或寰枢椎融合术)治疗不稳定寰椎爆裂性骨折的临床疗效.方法 从2005年10月～2008年10月,共收治不稳定寰椎爆裂性骨折20例.所有患者均早期行后路融合术,回顾治疗过程,分析随访结果.结果 术后均随访24个月.13例临床症状完全消失;7例有神经损伤的患者获得明显改善.术后3个月颈椎X线片及CT三维重建片提示内固定位置良好,寰枢关节无不稳征象;18例在术后3个月内植骨块已完全融合,2例植骨块在术后6个月也获得完全融合.各个随访时间点未见并发症出现.患者术后3个月ASIA评分与人院时比较明显提高,差异具有统计学意义(P＜0.05).结论 颈椎后路融合术是一种安全有效的治疗不稳定寰椎爆裂性骨折的方法.术式首选寰枢椎融合术,慎重选择枕颈融合术.
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| 关 键 词： | 后路融合 颈椎 寰枢关节 脊柱损伤 韧带损伤 |
Cervical Posterior Fusion for Unstable Atlantal Burst Fractures |
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| Guo xiang,Ni bin,Xie ning,et al..Cervical Posterior Fusion for Unstable Atlantal Burst Fractures[J].Chinese Journal of Bone and Joint Injury,2011,26(7):577-579. |
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| Authors: | Guo xiang Ni bin Xie ning |
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| Institution: | Guo xiang,Ni bin,Xie ning,et al.Department of Spinal Surgury,Changzheng Hospital,Shanghai,200003 |
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| Abstract: | Objective To evaluate the clinical outcome of posterior fusion(atlantoaxial fusion or occipitocervical fusion) for the unstable altantal bursting fracture.Methods Twenty patients with unstable atlantal burst fractures were operated on with occipitocervical or atlantoaxial fusion immediately after injuries.A retrospective review of clinical management and follow-up results was conducted to evaluate the outcome of posterior atlantoaxial or occipitocervical fusion to manage unstable atlantal burst fractures.Re... |
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| Keywords: | Posterior fusion Cervical vertebrace Atlantoaxial articulation Spinal injury Ligament injury |
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