Axis治疗难复性寰枢椎脱位并脊髓不全损伤  

Axis Internal Fixation System for the Treatment of Timeworn Atlantoaxial Dislocation with Incomplete Spinal Cord Injury

作　　者：宋宗让[1] 郝定均[1] 贺宝荣[1] 雷伟[2] 孙宏慧[3] 吴起宁[1] 

机构地区：[1]西安市红十字会医院,710054 [2]第四军医大学西京医院,710032 [3]第四军医大学唐都医院,710038

出　　处：《美中国际创伤杂志》2008年第1期45-47,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨Axis内固定系统治疗难复性寰枢椎脱位并脊髓不全损伤的应用价值。方法：29例难复性寰枢椎脱位并脊髓不全损伤行后路融合、Axis内固定。男16例，女13例，年龄18～60岁，平均39．2岁。其中外伤性19例，先天性畸形7例，类风湿性关节炎3例。结果：随访7～46个月，平均20个月。术后脊髓功能按JOA 17分法评定，改善率为78．6％。全部患者均获骨性融合，无脊髓损伤加重等并发症。结论：Axis内固定可提供立刻强有效的节段性固定，提高融合率，同时，可预防单纯减压融合术后早期失稳导致的高位脊髓损伤加重。Objective： To study effectiveness of Axis internal fixation for treatment of the timeworn atlantoaxial dislocation with incomplete spinal cord injury. Methods： 29 cases （including 16 male and 13 female, with a mean age of 39.2 years） of timeworn atlantoaxial dislocation with incomplete spinal cord injury underwent decompression, fusion and Axis internal fixation. Among them, there are 19 trauma cases, 7 cases of congenital deformity, and 3 cases of rheumatoid arthritis. Results： After 7-46 months＇ （mean 20 months） follow up, the rate of improvement was 78.6% according to JOA scores. X-ray films have demonstrated completed fusion in all patients. Spinal cord injury did not become worse, Conclusion： For treatment of the timeworn atlantoaxial dislocation with incomplete spinal cord injury, Axis internal fixation can provide immediate rigid stability and maintain axial correction for the fusion segment.

关 键 词：寰枢椎脱位 枕颈融合 内固定 

分 类 号：R683.2[医药卫生—骨科学]