不稳定性枢椎椎弓骨折的外科治疗  

SURGICAL TREATMENT OF UNSTABLE HANGMAN′S FRACTURE

作　　者：张沛[1] 刘彬[1] 常志强[1] 任伟[1] 祝勇[1] 朱光烁[1] 

机构地区：[1]内蒙古医学院第二附属医院颈椎外科,内蒙古呼和浩特010030

出　　处：《实用临床医药杂志》2006年第3期44-46,共3页Journal of Clinical Medicine in Practice

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Hallgman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Arias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。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 to Ⅱ type and 4 cases Ⅱ a 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 Gallic＇s technique, 2 cases received posterior fixation with Cervifix or C CD 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.

关 键 词：HANGMAN骨折 不稳定 手术方法 

分 类 号：R683.2[医药卫生—骨科学] R619[医药卫生—外科学]