牵引复位联合前路减压内固定治疗低位颈椎骨折脱位的疗效分析  

The efficacy analysis of lower cervical spine fracture-dislocation treated by traction reduction combined with anterior decompression and internal fixation

作　　者：邱小波 潘显明[2] 公丕安 黎娇[2] 

机构地区：[1]解放军519医院骨科,西昌615000 [2]成都军区总医院骨科,610083

出　　处：《中国骨与关节杂志》2012年第4期396-398,共3页Chinese Journal of Bone and Joint

摘　　要：目的探讨牵引复位联合前路减压内固定治疗低位颈椎骨折脱位的疗效。方法对2007年10月至2010年10月22例低位颈椎骨折脱位患者,第一步在局部麻醉下行颅骨牵引术,第二步在牵引复位情况下,行前路减压内固定术。结果该组病例术后随访12个月以上,X线片显示骨折脱位均复位,颈椎的正常序列及生理弧度恢复,植骨全部融合,无内固定断裂及松动。按Frangkel分级,显效(降低2级)6例,有效(降低1级)13例,无效3例。结论在颈椎牵引复位的基础上行前路减压植骨融合内固定是治疗低位颈椎骨折脱位的有效方法 。Objective traction reduction combined with To investigate the efficacy of lower cervical spine fracture-dislocation treated by anterior decompression and internal fixation. Methods A total of 22 patients with lower cervical spine fracture-dislocation were treated by operation from October 2007 to October 2010. The skull traction under local anesthesia was performed in the first step, and then under traction reduction anterior decompression and internal fixation were carried out in the second step. Results After surgery, all patients were followed up for more than 12 months. According to the X-ray films, the fracture-dislocation was made in a complete reset, the natural array of the cervical spine and physiological circular measure regained and the implanted bone was completely fused, without internal fixation breaking or loosening. According to the Frangkel grading, the grade of 6 cases were remarkably reduced （2 levels）, 3 cases effectively reduced （1 level）, and 3 cases were invalid. Conclusions The treatment of lower cervical spine fracture-dislocation with traction reduction combined with anterior decompression and internal fixation is effective.

关 键 词：低位颈椎 骨折脱位 牵引 复位 前路减压 

分 类 号：R687.3[医药卫生—骨科学]