颈前路中空螺丝钉内固定治疗齿突骨折  

Anterior fixation of odontoid fracture with a cannulated srew system

作　　者：潘兵[1] 王昭[1] 代燎原[1] 

机构地区：[1]杭州市解放军第117医院骨科,浙江310013

出　　处：《脊柱外科杂志》2008年第1期12-14,共3页Journal of Spinal Surgery

摘　　要：目的评估颈前路中空螺丝钉内固定治疗齿突骨折的临床疗效。方法对15例新鲜齿突骨折的患者行颈前路中空螺丝钉内固定，AndersonⅡ型骨折11例，浅Ⅲ型4例，观察术后骨折愈合、颈部功能状态以及术后并发症情况。结果随访3～24个月，平均6个月，骨折均获骨性愈合，均无明显颈部活动受限，未出现明显的术后并发症。结论如严格掌握手术适应证，颈前路齿突螺钉内固定可以获得良好的治疗效果，其主要优点在于保存了寰枢椎生理活动，骨折愈合率高以及术后并发症相对较少。Obejective To evaluate the clinical effectiveness of anterior screw fixation in odontoid fracture. Methods Fifteen cases of the odontoid fracture were treated with anterior screw fixation. They were classified into type Ⅱ（11 patients） and type Ⅲ（4 patients） according to Anderson. Results They were followed up for 3 monthes to 2 years. Mean follow-up 6 monthes. Fracture union was noted in all patients. All motion range of the neck was maintained. The postoperative complications were not found. Conclusion If the operative indications were followed seriously, the high clinical effectiveness should be acquired in anterior screw fixation of odontoid fracture. The major advantage of this technique is the preservation of physio-logical motion at atlantoaxial joint, the high rate of fracture union and rare in the postoperative complications.

关 键 词：颈椎 齿突尖 脊柱骨折 内固定器 

分 类 号：R683.2[医药卫生—骨科学]