经皮撬拨复位内固定治疗高位颈椎骨折脱位  

Treatment of Fracture-luxation of High Level Cervical Vertebra with Percutaneous Reduction and Internal Fixation by Leverage

作　　者：李保良[1] 魏思奇[1] 王兴水[1] 王建民[1] 孙永建[1] 王虎[1] 谭建文[1] 孙景福[1] 

机构地区：[1]广东医学院附属厚街医院骨科,广东东莞523945

出　　处：《解剖与临床》2008年第5期332-334,共3页Anatomy and Clinics

摘　　要：目的：探讨经皮穿刺撬拨复位内固定治疗上颈椎骨折与脱位的方法与效果。方法：对13例寰枢椎骨折脱位的患者实施全麻下撬拨复位拉力螺钉内固定术，手术全程在C臂X线机监视下操作。结果：13例手术均获得成功，术后X线显示钉位良好，复位满意。术后随访2～16个月，未出现上位颈椎不稳，颈部旋转功能良好。结论：经皮撬拨复位内固定治疗高位颈椎骨折脱位，具有操作简单、创伤小、出血少、恢复快等优点，但有一定风险性，术者要掌握解剖结构特点，熟悉颈部局部解剖关系，正确选择进针点、角度和深度，严格掌握适应证。Objective：To investigate methods and curative effects of percutaneous reduction and internal fixation by leverage for treatment of fracture-luxation of high level cervical vertebra. Methods： 13 patients with atlantoaxial fracture-luxation were treated by percutaneous reduction and internal fixation by leverage in general anesthesia, with monitoring of a C-ann X-ray instrument during whole process. Results：The postoperative X-ray films of all vertebral bodies with fracture-luxation showed better reduction and fixation. All patients gained well rotation function of cervical vertebrae during follow-up period of 2 - 16 months. Conclusions： It is clinical feasible by percutaneous reduction and internal fixation by leverage for treatment of fracture-luxation of high level cervical vertebra. The treatment of fracture-luxation of high level cervical vertebra with percutaneous reduction and internal fixation by leverage has the advantages of simple manipulation, less trauma and rapid recovery. It is safe procedures with appropriate instruments if the surgeon is familiar with local anatomy and carefully decides the insertion point, depth and angle when the percutaneously placing screws. Additionally, the surgical indications must be mastered strictly.

关 键 词：上颈椎 不稳定 经皮 撬拨 内固定 

分 类 号：R687.3[医药卫生—骨科学]