| 不稳定性枢椎椎弓骨折的外科治疗 |
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| 引用本文： | 张沛,刘彬,常志强,任伟,祝勇,朱光烁.不稳定性枢椎椎弓骨折的外科治疗[J].实用临床医药杂志,2006,10(5):44-46. |
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| 作者姓名： | 张沛 刘彬 常志强 任伟 祝勇 朱光烁 |
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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,呼和浩特,010030;内蒙古医学院第二附属医院,颈椎外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院,颈椎外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院,颈椎外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院,颈椎外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院,颈椎外科,内蒙古,呼和浩特,010030 |
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| 摘 要： | 目的探讨不稳定性枢椎椎弓骨折(Hangman骨折)的外科治疗方法。方法回顾性分析18例不稳定性Hang-man骨折患者临床资料,Levine-Edwards分型:Ⅱ型11例、Ⅱa型4例、Ⅲ型3例。11例行后路椎弓根螺钉固定术,4例行前路融合内固定术,1例行寰枢植骨、改良Gallie′s法Atlas钛缆内固定术,2例行枕颈融合后分别行Cervifix、CCD内固定术。结果所有患者均获得骨性愈合或骨性融合,时间3~4个月,颈椎获得良好稳定,无内固定失效。结论3种方法治疗不稳定的Hangman骨折各有优缺点及适应症。
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| 关 键 词： | Hangman骨折 不稳定 手术方法 |
| 文章编号： | 1672-2353(2006)03-0044-03 |
| 修稿时间： | 2005年10月16 |
SURGICAL TREATMENT OF UNSTABLE HANGMAN'S FRACTURE |
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| ZHANG Pei,LIU Bin,CHANG Zhi-qiang,REN Wei,ZHU Yong,ZHU Guang-shuo.SURGICAL TREATMENT OF UNSTABLE HANGMAN'S FRACTURE[J].Journal of Clinical Medicine in Practice,2006,10(5):44-46. |
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| Authors: | ZHANG Pei LIU Bin CHANG Zhi-qiang REN Wei ZHU Yong ZHU Guang-shuo |
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| Abstract: | Objective To study the surgical treatment of unstable Hangman fracture.Methods The clinical data of 18 cases of unstable Hangman fracture were analyzed retrospectively.According to Levine-Edwards classification,11 cases belonged toⅡtype and 4 casesⅡa type,3 cases belonged to Ⅲ type.11 cases received posterior pedicle screw fixation,4 cases received anterior fusion and fixed with anterior plate,1 case received atlanto-axial fusion and Atlas cable fixation with Gallie′s technique,2 cases received posterior fixation with Cervifix or CCD system fixation.Result 3～4 months after operation,all of the cases obtained bony fusion.Cervical spine had satisfactory stability,and there was no failure in internal fixation.Conclusion The three methods for treatment of unstable Hangman fracture had its own indications,advantages and disadvantages. |
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| Keywords: | Hangman fracture unstable operation |
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