经胸骨入路治疗颈胸段脊柱损伤  

Treatment of cervicothoracic injury by sternotomy

作　　者：郭中华 肖军[2] 杨述华[3] 肖宝钧[3] 孟春庆[3] 

机构地区：[1]武汉市东西湖区人民医院骨科,湖北武汉430040 [2]武汉市普爱医院脊柱外科,湖北武汉430021 [3]华中科技大学同济医学院附属协和医院骨科,湖北武汉430022

出　　处：《临床骨科杂志》2007年第1期10-12,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨经胸骨入路行椎体切除及钢板内固定治疗颈胸段脊柱损伤的可行性及效果。方法对12例颈胸段脊柱骨折、脱位的患者行颈胸段前路C7-L3间1-2个椎体次全切除、植骨及颈椎前路钢板固定术。结果所有患者随访6个月-3年，植骨均在3-4个月内完全融合。12例脊髓神经功能有不同程度的改善，未发生钢板螺钉松动。1例出现暂时性声音嘶哑，3个月后恢复。结论经胸骨入路可以充分显露C7-T4节段，可用于颈胸段脊柱疾患的治疗。Objective To study the feasibility and clinical effect sternotomy for the treatment of cervicothoracic spine trauma by anterior cervicothoracic junction corpectomy and plate fixation. Methods Twelve cases of cervicothoracic fracture or dislocation were performed on anterior subtotal vertebrectomy at C7 - T3 segment, bone graft and anterior cervical locking plate fixation in cervicothoracic spine. Results All cases were followed up for 6 - 36 months. Complete fusion of bone graft occurred within 3 - 4 months in all cases. No loosening and breaking of the plate and the screws was found. Spinal cord neurological function in twelve cases were improved to different degrees. Transient voice hoarse occurred in one case and restored in 3 months. Conclusions This approach can provide good exposure of cervicothoracic junction and can be used for the treatment of cervicothoracic spine trauma.

关 键 词：脊柱骨折 脊髓损伤 骨折固定术 内 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]