颈椎骨折脱位外科治疗的临床疗效分析  

Analysis of curative effect on surgical treatment for cervical vertebral fracture and dislocation

作　　者：曾腾辉[1] 顾洪生[1] 李振宇[1] 阎洪印[1] 田长庆[1] 周文钰[1] 林建泽[1] 郭伟壮[1] 

机构地区：[1]深圳市第二人民医院骨科,518035

出　　处：《岭南现代临床外科》2009年第5期378-380,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨颈椎骨折脱位外科治疗的临床疗效。方法对我科2003年8月-2008年12月外科手术治疗的59例颈椎骨折脱位的资料进行回顾性分析。结果全部病例随访,随访时间6～62个月,平均26.5个月。术后X线片显示75例融合节段植骨部位已融合。术后ASIA脊髓运动感觉功能评分均有不同程度恢复。因为钢板太厚和术中牵拉引起食管水肿,术后吞咽困难2例,术中损伤食道至食管漏1例,钉道不准至椎弓根螺钉固定后神经症状加重各1例。结论合理的手术入路、术中充分减压,重建脊柱稳定性和可靠的内固定是治疗颈椎骨折脱位的重要措施。Objective To investigate the curative effect on surgical treatment for cervical vertebral fracture and dislocation. Methods From August 2003 to December 2008, the data of 59 cases with cervical vertebral fracture and dislocation received surgical treatment were analyzed retrospectively. Results All cases were followed-up. The follow-up time ranged from 6 to 62 months （average 26.5 months）. The fusions of segmental bone grafting site were found by X ray film in 57 cases. Postoperative ASIA spinal cord motor-sensation function score had recovery in different degree. 2 cases occurred swaUing pain and dysphagia after operation. Tracheoesophageal fistual was found in 1 case and aggravation of nervous symptom was found in 1 case after crew fixation of padicle of vertebral arc. Conclusion A reasonable operative approach, intraoperafive sufficient decompression, reconstructed vertebral stability and reliable internal fixation are a very important measures in the treatment of cervical vertebral fracture and dislocation.

关 键 词：颈椎 骨折脱位 手术治疗 临床疗效 

分 类 号：R683.2[医药卫生—骨科学]