C臂X线机监视下大重量牵引治疗颈椎骨折脱位并关节突交锁23例  

The therapeutic effect of high weight skull traction on 23 cervical spine fracture and dislocation with locked facet dislocation supervised under C-arm

作　　者：徐敏[1] 刘保新[1] 黄承军[1] 唐福宇[1] 娄宇明[1] 梁伟斌[1] 

机构地区：[1]广西中医学院第三附属医院骨科,广西柳州545001

出　　处：《临床骨科杂志》2007年第5期406-408,共3页Journal of Clinical Orthopaedics

摘　　要：目的提高大重量牵引治疗颈椎骨折脱位并关节突交锁的复位效果,降低并发症与风险。方法23例颈椎骨折脱位并关节突交锁患者在清醒情况下采用C臂X线机监视下大重量颅骨牵引进行复位,观察复位情况与并发症。结果22例复位成功,1例(为不全瘫)复位失败改为手术切开复位内固定。复位后椎管内有压迫或不稳者7例采用手术治疗,余均采用牵引治疗。所有患者牵引过程中未发生严重并发症。随访24～30个月,神经功能平均恢复(1.06±0.73)级。结论C臂X线机监视下大重量颅骨牵引治疗颈椎骨折脱位并关节突交锁的复位成功率高,风险小,并发症少。Objective To improve the clinical effect of high weight skull traction on cervical spine fracture and dislocation with locked facet dislocation and to reduce complications. Methods 23 cases with cervical spine fracture and dislocation with locked facet dislocation were treated with high weight skull traction supervised under C-arm. The reduction results and complications were observed. Results Of 23 cases, 22 achieved successful closed reduction while 1 failed. There was no neurological deterioration in any cases. After successful reduction, 7 cases that had disc hernation or bone fragments in spinal canal or instability of cervical spine were treated with operation. All cases were followed up for 24 - 30 months and their neural function recovered average 1.06 ± 0. 73 levels according to the ASIA＇ s classification. Conclusions High weight skull traction supervised under C-arm can provide greater success rate, and reduce the dangerous complications.

关 键 词：关节突交锁 牵引术 闭合复位 脊柱骨折/治疗 

分 类 号：R683.2[医药卫生—骨科学] R454.4[医药卫生—外科学]