颈后路APOFIX内固定加颗粒状植骨治疗齿状突骨折  

Treatment of Odontoid Process Fracture by APOFIX Internal Fixation System and Granule Bone Graft through Cervical Posterior Approach

作　　者：杨云平[1] 王宇飞[1] 杨柯颖[1] 贺玉彪[1] 陆晓涛[1] 张伟[1] 熊志宏[1] 李光全[1] 

机构地区：[1]云南省第二人民医院,云南昆明650021

出　　处：《实用骨科杂志》2004年第3期197-199,共3页Journal of Practical Orthopaedics

摘　　要：目的　探讨颈后路 APOFIX内固定系统加颗粒状植骨治疗齿状突骨折的可行性。方法　对 8例齿状突骨折患者采用颈后路 APOFIX内固定系统固定 ,并行颗粒状自体松质骨植骨融合。结果　 8例均获 3～ 18个月随访 ,未见椎板夹松动、脱出及断裂 ,植骨全部融合。结论　 APOFIX系统操作简单、安全、稳定性好 ,适于齿状突骨折的后路固定 ;而行颗粒状自体松质骨植骨有利于融合 。Objective To study the feasibility of APOFIX internal fixation system and granule bone graft in treatment of Odontoid process fracture through cervical posterior approach.Methods APOFIX internal fixation system and granule cancellous bone autograft and fusion were used to treat 8 patients with early fracture of Odontoid process through cervical posterior approach.Results 8 patients were followed up for 3～18 months.No loose,displace and rupture of lamina clip were observed and the bone graft were completely fused.Conclusion APOFIX internal fixation system is a simple,safe and stable method.It is suitable to use in treating fracture of Odontoid process through posterior approach.The granule cancellous bone autograft will increase the rate of fusion.

关 键 词：颈后路 APOFIX系统 内固定 颗粒状植骨 齿状突骨折 手术方法 手术治疗 

分 类 号：R683[医药卫生—骨科学]