Solis椎间融合器治疗Ⅱ型及Ⅱa型Hangman骨折  

Solis intervertebral cage fusion for Hangman fractures of types Ⅱ and Ⅱa

作　　者：黄阳亮[1] 刘少喻[1] 梁春祥[1] 于滨生[1] 陈柏龄[1] 龙厚清[1] 李浩淼[1] 韩国伟[1] 张旭华[1] 魏富鑫[1] 

机构地区：[1]中山大学附属第一医院脊柱外科,广州510700

出　　处：《中华创伤骨科杂志》2010年第2期118-121,共4页Chinese Journal of Orthopaedic Trauma

基　　金：广东省科技计划项目（2008B030301303）;广州市黄埔区科技计划项目（0931）

摘　　要：目的评价应用Solis椎间融合器治疗Ⅱ型及Ⅱa型Hangman骨折的临床疗效。方法2006年1月至2008年12月采用经颈前路Solis椎间融合器置入治疗Ⅱ型及Ⅱa型Hangman骨折患者8例，对术前及末次随访的创伤后颈椎临床评分、颈部疼痛的视觉模拟法（VAS）评分、枢椎移位及成角数据进行比较。结果手术时间60—135min，平均86min；出血量15～50mL，平均25mL；无手术并发症发生。所有患者随访6—26个月，平均13．0个月。融合节段及骨折部位均于3个月后获骨性融合。术前创伤后颈椎临床评分平均为（51．9±7．4）分（45～63分）；术后平均为（90．8±4．7）分（83～95分）；术前颈部疼痛的VAS评分平均为（7．0±0．8）分（6～8分），术后平均为（1．1±0．6）分（0～2分）；术前枢椎成角平均为-10．1°±4．9°（-18°～-3°），术后平均为3．4°4-2．5°（2°～7°）。术前枢椎移位平均为（3．0±1．7）mm（1．0～5．5mm），术后平均为（1．1±0．8）mm（0～2．0mm），手术前后各项指标比较差异均有统计学意义（P〈0．05）。结论应用Solis椎间融合器治疗Ⅱ型及Ⅱa型Hangman骨折，具有简化手术、减少创伤、固定稳妥、融合率高等优点，临床疗效满意。Objective To evaluate clinical outcomes of Solis interverfehral cage fusion used in treatment of Hangman fractures of types Ⅱ and Ⅱa. Methods From January 2006 to December 2008, 8 patients with Hangman fracture were treated by anterior cervical intervertebral fusion with Solis cage. The Clinical Post-Traumatic Neck Score （CPNS）, Visual Analogue Scale （VAS） of neck pain, angle deformity and displacement of the axis were recorded before operation and at the latest follow-up. Results The average follow-up of the 8 patients were 13.0 months （range, 6 to 26 months） . Operation succeeded without complications in all cases. The average operative time was 86 min （60 to 135 min） and the haemorrhage was 23 mL （15 to 50 mL）. All segments and fracture sites were solidly fused after 3 month. The mean pre-operative CPNSwas51.9±7.4 （45 to 63）, and the post-operative one was 90.84.7 （83 to 95） . The mean pre-operative VAS of neck pain was 7.0 ±0. 8 （6 to 8）, and the post-operative one was 1.1± 0. 6 （0 to 2）. The mean pre-operative angle deformity was - 10. 1°± 4. 9° （ - 18° to -3°）, and the post-operative one was 3.4° ± 2.5° （2° to 7°）. The mean pre-operative displacement was （3.0 ± 1.7） （1.0 to 5.5 mm）, and the post-operative one was （ 1.1 ± 0. 8） mm （0 to 2. 0 mm）. All the differences were significant （ P 〈 0. 05 ）. Conclusion Solis intervertebral cage fusion used in the treatment of Hangman fractures of types Ⅱ and Ⅱa can simplify operative procedures, reduce operative invasion, and lead to reliable fixation and a high fusion rate.

关 键 词：颈椎 骨折 脊柱融合术 骨折固定术 内 

分 类 号：R686[医药卫生—骨科学]