一期前后联合入路治疗复杂颈椎外伤的临床研究  

Clinical Study of Multilevel Cervical Trauma Treated by One-Stage Anterior-Posterior Surgical Approach

作　　者：刘志荣[1] 金晓均[1] 龚清[1] 侯振海[1] 郑隆宝[1] 叶虹[1] 黄宏前[1] 

机构地区：[1]解放军第117医院骨科(南京军区骨科中心),浙江省杭州市310004

出　　处：《中国骨与关节损伤杂志》2009年第1期8-10,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨和评价采用一期前后联合入路手术治疗复杂颈椎外伤的临床疗效。方法回顾性分析2002年3月～2005年12月收治的复杂颈椎外伤31例,其中严重颈椎骨折脱位15例,多节段颈椎病合并外伤11例,颈椎先天性畸形合并外伤5例。术前ASIA脊髓神经功能分级:A～B级5例,C～D级26例。结果31例全部采取一期颈椎前后联合入路手术治疗。术后A-SIA脊髓神经功能分级:A～B级2例,C级3例,D～E级26例。结论采用颈椎一期前后联合入路能够实现较大范围的神经减压和颈椎重建,是治疗复杂颈椎外伤有效的方法。Objective To evaluate clinical curative effect of one- stage anterior- posterior surgical approach for multilevel cervical trauma treated. Methods Thirty-one cases of multilevel cervical trauma were retrospectively analyzed from March 2002 to December 2005. Among all cases, the involved 3 segments were 18 cases, the involved 4 segments were 9 cases, the involved 5 segments were 4 cases. According to the grade of ASIA spinal cord function （2000 edition emended） before operation： A-B grade 5 cases, C-D grade 26 cases. Results All patients were treated by one- stage anterior - posterior surgical approach. The average time in hospital was 23 days （11 to 40 days）. The average follow up period was 22 months （10 to 36 months）. According to the grade of ASIA spinal cord function after operation： A-B grade 2 cases, C grade 3 cases, D-E grade 26 cases. Conclusion One- stage anterior- posterior surgical approach which could result in wider neural decompression and spinal reconstruction is appropriate and effective for treatment of multilevel cervical trauma.

关 键 词：颈椎 外伤 手术 

分 类 号：R739.42[医药卫生—肿瘤] R683.2[医药卫生—临床医学]