手术治疗下颈椎创伤107例  

Surgical approaches for 107 cases of lower cervical spine injuries

作　　者：康照利[1] 邹三明[1] 黄笃[1] 喻亮[1] 冯华明[1] 张小舟[1] 高彪[1] 王盛[1] 张宇博[1] 

机构地区：[1]孝感市中心医院骨科,湖北孝感432100

出　　处：《临床骨科杂志》2012年第6期623-625,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨手术治疗下颈椎创伤的策略。方法手术治疗下颈椎创伤107例:前路手术68例,后路手术9例,前后联合入路手术30例。评价神经功能Frankel分级情况。结果患者均顺利完成手术。107例均获随访,时间6～18个月。植骨融合,颈椎序列较好。神经功能恢复情况:除2例高位截瘫患者没有明显恢复外,其余患者的神经功能均.有1～3级恢复。结论对下颈椎创伤的患者应严格把握手术适应证,选择合适的手术入路,积极预防并发症,采用手术治疗可以取得较好的疗效。Objective To analyze the outcome of surgical treament for lower spine injuries. Methods The study in- volved 107 patients including 68 patients treated with anterior appoaches, 9 patients treated with posterior approa- ches, and 30 patients treated with anterior-posterior approaches. Neural function was evaluated by using Frankle clas- sification grades. Results All patients were operated with no early serious complications related to surgery. All 107 patients were followed up for 6 ～ 18 months. The graft bone was fused and X-ray films showed normal height of verte- bral space and normal sequence of cervical spine affter operation. Except for 2 patients of 9 patients （Frankel A）, oth- er patients got 1～ 3 grate neural funeion recovery according to Frankle classification. Conclusions Good out-come of treament for lower cervical spine injuries depends on patients selection , correct surgical approach and complications prevention.

关 键 词：下颈椎损伤 截瘫 骨折固定术 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]