枢椎齿状突骨折治疗的疗效分析  

Therapeutic effect for fractures of odontoid process

作　　者：孙麟[1] 马迅[1] 

机构地区：[1]山西医科大学第二临床医学院骨科,太原030001

出　　处：《山西医科大学学报》2010年第2期159-161,共3页Journal of Shanxi Medical University

摘　　要：目的分析枢椎齿状突骨折治疗方法及效果。方法回顾分析收治的枢椎齿状突骨折患者43例,保守治疗22例、手术治疗21例,分析其骨折愈合与功能恢复情况。结果保守治疗与手术治疗枢椎齿状突骨折,骨折愈合与神经症状恢复均满意,获得3年随访的患者骨折全部愈合,保守治疗组神经症状恢复均达ASIA-E级,手术治疗组达到ASIA-D级2例,余均达ASIA-E级。但行寰枢椎融合术者术后颈椎活动受限。结论枢椎齿状突骨折治疗方法较多,临床实践中应根据患者具体的骨折类型和移位程度及影响骨折愈合的其他因素来确定其治疗方案。Objective To summarize the treatment method and its effectiveness for fractures of odontoid process. Methods Fortythree patients with fractures of odontoid process were treated,in which 22 patients were conservatively treated and 21 patients were surgically treated. The fracture healing and the functional recovery were retrospectively analyzed. Results All patients were satisfied with the odontoid process fracture healing and the neurological recovery. After 3-year follow-up, all the factures healed and neurological symptoms resumed to ASIA-E level in patients after conservative treatment, while ASIA-D level in 2 patients and ASIA-E level in 19 patients after surgery. But the patients performing atlanto-axial fusion showed the limited range of motion of cervical spine after surgery. Conclusion The treatment for fractures of odontoid process should be based on the specific type and degree of displacement of the fracture, the influential factors of fracture healing and other factors in the clinical practice.

关 键 词：枢椎齿状突骨折 外科治疗 随访 

分 类 号：R683.2[医药卫生—骨科学]