内固定结合外固定治疗严重下颈椎屈曲扭伤  

Combination of internal and external fixation for the treatment of severe flexion sprain injury of the lower cervical spine

作　　者：成俊[1] 宋跃明[1] 刘浩[1] 林旭[1] 丁方东[1] 

机构地区：[1]四川大学华西医院骨科,四川成都610041

出　　处：《临床骨科杂志》2006年第2期137-138,共2页Journal of Clinical Orthopaedics

摘　　要：目的 探讨内固定结合外固定治疗严重下颈椎屈曲扭伤的效果。方法 9例严重下颈椎屈曲扭伤患者采用前路椎间盘摘除、开放复位、植骨融合、锁定钢板内固定治疗。术后颈支具外固定3个月。结果 9例均获随访，时间6～36个月，所有植骨间隙均融合，椎间隙及曲度保持正常。结论 前路椎间盘切除，开放复位可降低脊髓损伤风险。内固定结合外固定促进植骨融合，重建颈椎稳定性，是治疗严重下颈椎屈曲扭伤的可靠方法。Objective To study the effect of combination of internal and external fixation for the treatment of severe flexion sprain injury of the lower cervical spine. Methods 9 cases of severe flexion sprain injury of the lower cervical spine underwent anterior cervical discectomy, open reduction, and autograft fusion with locking plate internal fixation . Postoperatively, cervical orthoses were worn for three months. Results 9 cases were followed up for 6 to 36 months. Complete fusion of autograft, preservation of the normal intervertebral height and cervical lordosis were achieved in all cases. Conclusions Anterior discctomy and open reduction can decrease the risk of spinal cord injury. Combination of internal and external fixation facilitates bone fusion and reconstruction of the stability of the cervical spine. It is an effective method for the treatment of severe flexion sprain injury of the lower cervical spine.

关 键 词：颈椎 脊柱损伤 内固定 外固定 屈曲扭伤 

分 类 号：R686[医药卫生—骨科学] R687[医药卫生—外科学]