颈椎弓根钉棒系统重建并全椎板减压治疗急性颈椎损伤  

Posterior transpedicular screw fixation with total laminonectomy in acute cervical spine injury

作　　者：罗绍伟[1] 杜世新[1] 李学东[1] 

机构地区：[1]汕头大学医学院第一附属医院骨科,515041

出　　处：《中国实用医药》2011年第25期26-28,共3页China Practical Medicine

摘　　要：目的探讨和评价经后路颈椎弓根钉系统+颈椎全椎板减压治疗颈椎骨折脱位、颈脊髓损伤的临床应用价值。方法对72例颈椎骨折脱位、颈脊髓损伤患者行一期经后路颈椎弓根钉棒系统内固定重建、颈椎板切除减压+小关节植骨融合术。结果所有患者均获良好复位、固定,共置入550枚椎弓根螺钉,术后X线及CT显示除15枚螺钉发生偏移外,其余535枚螺钉完全位于椎弓根内。随访12～45个月,大部分患者神经功能较术前恢复良好。所有患者均获良好骨性融合,未发现断钉、断棒、脱钉现象。结论一期行颈椎后路全椎板切除减压、椎弓根钉棒系统内固定是治疗急性颈椎及脊髓损伤的有效方法。Objective To assess the efficiency of total laminectomy and transpedicular screw placement techniques and a thoroughly decompression with a three column fixation device on the early cervical spine cord injury. Methods 72 patients were operated successfully with total cervical laminectomy through transpedicular screw techniques. Results 535 pedicle screws were inserted successfully in all patients expect for the excursion in 15 pedicle screws on the postoperative radiographic and CT scans. All patients with incomplete neurological deficits experienced improvement after operation with follow up of 12 to 45 months. Conclusion At the early stage of cervical spinal cord injury, using total laminonectomy decompression through cervical screws techniques to reconstruct spinal alignment could improve the prognosis of patients.

关 键 词：脊髓 颈椎 椎弓根螺钉 椎板切除 

分 类 号：R687.3[医药卫生—骨科学]