颈胸椎交界处骨折与脱位的特点及处理  

Characteristics and management of fracture and dislocation between cervicothoracic juncture

作　　者：李善会[1] 于长征[1] 赵丽君[1] 

机构地区：[1]山东省威海市文登中心医院骨科,264400

出　　处：《中国医药》2006年第7期407-408,共2页China Medicine

摘　　要：目的研究颈胸椎交界处骨折或脱位的临床特点、诊断和治疗原则。方法分析17例颈胸交界处的脊柱骨折临床和放射学表现,于颈前路植骨并钢板内固定治疗。结果治疗前神经功能全瘫12例,不全瘫5例,临床表现包括C6至T1神经根症状13例,低血压7例,Horner综合征8例。治疗后1年随访,17例神经功能均有不同程度的改善,13例术前临床表现明显缓解,4例症状消失。结论颈胸交界处损伤诊断以放射学为主,疗效评定要结合放射和临床表现,颈前路减压植骨内固定是治疗的主要方法,有较好的疗效。Objective To explore the treatment principle and clinical characteristics of dislocation and fracture between C6 and T2 vertebra. Methods The clinical and radiology features of 17 cases of cervicothoracic trauma were analyzed. All cases underwent anterior bone graft and steel plate internal fixation in cervicothoracic spine. Results 12 patients were found to develop complete deficit and 5 were not found to develop incomplete deficit on neurological function before treatment. Clinical features included nerve root symptom in 13 cases, hypotension in 7 cases, and homer sign in 8 cases of. Following-up was conducted one year later,finding all patients were improved on its neurological function to different degree（ 13 cases showed obvious relief and 4 presented with disappearance of symptoms ）. Conclusion The diagnosis of cervicothoracic trauma is mainly depended on its radiology feature, so the judgment of treatment outcomes should combine clinical features with radiological findings, as for its treatment, anterior decompression with bone graft and plate internal fixation is the main method, with better effect for spine trauma in cervicothoracic junction.

关 键 词：骨折 脱位 脊柱融合术 

分 类 号：R681[医药卫生—骨科学]