手术治疗陈旧性颈椎骨折脱位的临床应用研究  

exploratory development of operation for old dislocation of cervical vertebra

作　　者：邹永根[1] 伍光辉[1] 彭忠毅[1] 

机构地区：[1]泸州医学院附属中医院,646000

出　　处：《内蒙古中医药》2008年第10期33-35,共3页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨陈旧性颈椎骨折脱位应用同期前后路联合手术治疗的临床疗效。方法:21例经颅骨牵引未能复位的陈旧性下颈椎骨折脱位伴关节突交锁患者,在颅骨牵引下,先从后路松解关节突交锁与脊髓后方压迫,然后行前路减压、植骨内固定术。结果:21例均完全复位,症状改善,无严重并发症发生。全部病例均获6个月以上随访,椎间植骨融合良好,颈椎生理曲度、椎间高度、颈椎的稳定性均维持良好,15例脊髓损伤患者中14例按Frankel分级有不同程度提高。结论:同期前后路联合手术可完全恢复颈椎的序列和高度、解除脊髓压迫,是一种有效的治疗方法,但手术有一定风险,应严格掌握适应症,谨慎操作。Objective： To explore the effects of the treatment by exploratory development of operation for old dislocation of cervical vertebra. Methods： 21 patients with dislocation of inferior cervical vertebra accompanying with facet locking and failed treatment by skull traction were involved. Posterior approach was used to relax facet locking and the rear spinal cord compression and anterior approach to decompress and plug bone graft by MESH.Results： All the dislocated cervical vertebras had get reposition and all the patients＇symptoms get well without any serious complication. Follow - up of 6 months or more shows that every patient has get solid fusion with good curvature and height and stability, and 14 of the fifteen spinal injury patients have get Frankel grade raise. Conclusion： For old dislocation of inferior cervical vertebra, anterior - posterior operation is effective. It can obtain satisfactory reduction and decompression and stability. But because of the risk, the operation must be used cautiously.

关 键 词：颈椎 陈旧性脱位 前后路 关节突交锁 

分 类 号：R681.55[医药卫生—骨科学]