前路手术治疗严重下颈椎骨折脱位

目的：探讨前路手术在治疗严重下颈椎骨折脱位中的价值。方法：32例严重下颈椎骨折脱位均在全麻下行颈前路减压、复位、自体髂骨植骨及AO颈椎带锁钢板固定。结果：完全复位17例，复位90%以上15例，平均随访28个月，颈椎椎间高度和生理曲度维持良好，无钢板螺钉并发症，21例脊髓不完全损伤者神经功能获得改善。结论：严惩下颈椎骨折脱位选择前路手术治疗可获得满意的复位和即刻稳定性的重建。

Surgical treatment of severe lower cervical fractures and dislocations by anterior approach

Objective:To discuss the value of surgical treatment of severe lower cervical fractures and dislocations by anterior approach.Method:Thirty-two cases of severe lower cervical fractures and dislocations were involved.All cases were operated in general anaesthesia by anterior decompression,reduction,auto-iliac graft and AO cervical spine locking plate fixation.Result:17 cases got completely reduction,15 obtained more than 90% reduction.The follow-up was 28 months in average,the normal intervertebral height and lordosis were maintained,there were no plates and screws complications,and 21 cases with incompletely neurological defect got improved postoperatively.Conclusion:For severe lower cervical fractures and dislocations,an ideal reduction and immediately stability can be obtained by choosing anterior approach surgery.