颈椎侧块螺钉技术在颈椎骨折脱位中的应用  

Treatment fracture and Dislocation of cervical spine by the lateral mass screw technique

作　　者：李徽[1] 

机构地区：[1]黄山市人民医院,安徽245000

出　　处：《安徽卫生职业技术学院学报》2010年第4期35-35,37,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨颈椎侧块螺钉技术在颈椎骨折脱位中的应用。方法:应用颈椎侧块钉棒内固定系统治疗颈椎骨折脱位12例,术中使用Roy-Camille技术置入螺钉。结果:12例病人经5～24个月的临床随访,未发现内固定松动脱落,8例病人获骨性融合。脊髓功能按Frankel分级,3例术前为A级,患者均无明显恢复;其余9例术前为B、C级,病人的脊髓功能障碍均得了不同程度的恢复。结论:颈椎侧块钉棒系统对颈椎的骨折脱位关节实绞锁具有确实复位作用,并且在进行后路减压的同时能获得稳定的内固定。正确的选择进钉点和入钉方向可降低神经根和椎动脉损伤的发生率。Objective： To study the treatment of fracture and dislocation of cervical spine by lateral mass screw technique. Methods： Applying the lateral mass screw system to treat 12 cases of fracture and dislocation of cervical spine, and during the operation, Roy-Camille technique was used to implant screws. Results： Among the 12 cases, clinical follow-up was ranging from 5 to 24 months with the mean time 13 months. No instrument looseness was found. 8 cases had bone fusion .3 cases who was Frankel A grade before operation didn’t have obvious improvement, and the rest 9 cases who was Frankel B,C grade before operation had improvements .Conclusion：The lateral mass screw technique can reduce fracture and dislocation of cervical spine. Implanting Screw by correct means can reduce the rate of neurologic complications.

关 键 词：颈椎骨折脱位 内固定 侧块 

分 类 号：R681.5[医药卫生—骨科学]