穿经枢椎棘突的C1～3后路钛缆固定植骨融合术治疗儿童寰、枢椎不稳  

C1～3 posterior titanium cable fixation and fusion traversing spinous process of axis for treatment of pediatric atlantoaxial instability

作　　者：张宏其[1] 陈凌强[1] 刘少华[1] 王永福[1] 赵迪[1] 郭超峰[1] 唐明星[1] 

机构地区：[1]中南大学湘雅医院脊柱外科(湘雅脊柱外科中心),湖南长沙410008

出　　处：《中国现代医学杂志》2010年第23期3616-3619,共4页China Journal of Modern Medicine

摘　　要：目的探讨儿童寰、枢椎不稳的理想手术治疗方案。方法回顾总结2005年1月～2008年8月期间采用穿经枢椎棘突的C1～3后路钛缆固定植骨融合术治疗的12例小儿严重寰、枢椎不稳的临床资料,男8例,女4例,年龄5～13岁,平均9.8岁。所有病例均于颅环牵引复位后,行穿经枢椎棘突的C1～3后路钛缆固定植骨融合术,再使用头颈胸石膏固定制动至少3个月。结果所有患儿经平均18个月(12～55个月)随访,均复位满意、获得骨性融合,有神经症状的病患神经症状均消失,疗效较佳。结论穿经枢椎棘突的C1～3后路钛缆固定植骨融合术是治疗儿童寰、枢椎不稳的有效方法。【Objective】 To investigate the ideal therapeutic regimen of pediatric atlantoaxial instability.【Methods】 The clinical data of 12 children with severe atlantoaxial instability were reviewed.These patients were treated by C1~3 posterior titanium cable fixation and fusion traversing spinous process of axis during January 2005 and August 2008.There were 8 males and 5 females with the mean age of 9.8 years（5~13 years）.After halo traction reduction,all the cases from C1 to C3 were fixed and fused with titanium cable through spinous process of axis.Then plaster was used for fixation and immobilization for at least 3 months.【Results】 After 18-month（12~55 months） follow-up,all the children got satisfactory reduction and bone fusion,and the neurosis disappeared.【Conclusion】 C1~3 posterior titanium cable fixation and fusion traversing spinous process of axis is an effective therapy for pediatric atlantoaxial instability.

关 键 词：寰、枢椎不稳 后路 融合 

分 类 号：R683.2[医药卫生—骨科学]