中空加压螺钉内固定治疗枢椎齿状突骨折  

Internal fixation of odontoid fractures by compressive cannulated screw

作　　者：方军[1] 窦洪磊[1] 陈景春[1] 李华壮[1] 冀东兴[1] 褚俊良[1] 高克海[1] 李丹智[1] 

机构地区：[1]潍坊医学院附属青州医院骨科,262500

出　　处：《中华创伤杂志》2007年第12期903-905,共3页Chinese Journal of Trauma

摘　　要：目的探讨中空加压螺钉内固定治疗枢椎齿状突骨折的疗效。方法从2004年4月至2007年3月应用颈前路中空加压螺钉内固定治疗齿状突骨折24例，其中Ⅱ型13例，Ⅲ例11例。所有患者术前均行颅骨牵引，受伤后平均6d内行前路齿状突螺钉内固定手术，术后颈围保护6周，进行定期临床和X线检查。结果所有患者均得到随访，平均为28个月，骨折全部骨性愈合，无术中及术后并发症，无内固定螺钉松动、移位或断裂。结论采用中空加压螺钉内固定治疗枢椎齿状突骨折，骨折愈合率高，并发症少，是治疗齿状突骨折较好的选择。Objective To investigate the efficacy of compressive cannulated screw fixation in treatment of odontoid fractures. Methods Anterior internal fixation with compressive cannulated screw was done in 24 patients with odontoid fractures from April 2004 to March 2007, including 13 patients of type Ⅱ fractures and 11 type Ⅲ. Skull traction was performed in all patients preoperatively, and within mean 6 days after injury all patients underwent screw fixation. Rigid cervical collar was used for 6 weeks postoperatively. Serial clinical and radiographic examinations were done during the follow-up. Results All patients were followed up for mean 28 months, which showed bone healing in all of them. During and after operation, no complication was found, nor loosening, dislocation or breakage of internal fixation screws. Conclusion Compressive cannulated screw has a high fusion rate and a low complication rate and hence is an effective treatment method for odontoid fractures.

关 键 词：齿状突 骨折固定术 内 

分 类 号：R686[医药卫生—骨科学]