单枚螺钉前路固定Anderson型齿状突骨折  

Single-screw Anterior Fixation of Type Ⅱ Odontoid Fractures

作　　者：史勇[1] 李涛[1] 刘巍[1] 张亚峰[1] 唐天驷[1] 

机构地区：[1]苏州大学第一附属医院,江苏苏州215000

出　　处：《实用骨科杂志》2005年第3期253-255,共3页Journal of Practical Orthopaedics

摘　　要：目的回顾分析18例齿突骨折前路螺钉固定术,探讨手术的安全性和疗效。方法1998年12月至2004年2月,前路螺钉固定治疗创伤性Anderson型齿突骨折脱位18例,男15例,女3例,平均42.2岁。所有病例术前均行颅骨牵引,受伤后平均5d内行前路齿突螺钉固定手术,术后颈围保护6周。进行了定期的临床和X线检查随访。结果平均随访15.8个月。得到随访的17例骨折全部骨性愈合,无术中及术后并发症,无内固定螺钉松动,移位或断裂。结论前路螺钉固定治疗齿突骨折既可提供良好的稳定性又能保留寰枢关节活动性,骨折愈合率较高,并发症低,是治疗Anderson型齿突骨折较好的方法。Objective We retrospectively reviewed our series of 18 consecutive patients who underwent odontoid screw fixation,to further define the safety and efficacy of the technique. Methods From 1998 to 2004, 18 patients presented with acute traumatic TypeⅡodontoid fractures were treated by odontoid screw fixation, 3 female and 15 male were included with average age of 42.2 years. All patients underwent the operation within 5 days after injury and rigid cervical collar were used for 6 weeks postoperatively, and serial clinical and radiographic examinations were monitored during the following-up. Results With a mean follow-rp period of 15.8 months, radiographic fusion was documented for 17 of 18 patients. No complications related to the surgical approach or hardware failure were identified, and all patients remained in neurologically stable condition. Conclusion Single-screw anterior odontoid fixation was associated with a relatively low complication rate and a high fusion rate in this study. We think that it is an effective treatment method for acute TypeⅡodontoid fractures.

关 键 词：颈椎 齿突骨折 内固定 

分 类 号：R683.2[医药卫生—骨科学]