后路侧块螺钉治疗下颈椎骨折脱位的临床分析  

The clinical analysis of posterior lateral mass screw in the treatment of lower cervical spine fracture and dislocation

作　　者：薛健康 谈中文 张军[1] 

机构地区：[1]广元市第一人民医院骨科,四川广元628000

出　　处：《四川医学》2013年第2期251-253,共3页Sichuan Medical Journal

摘　　要：目的研究分析对下颈椎骨折脱位患者应用后路侧块螺钉内固定术治疗的临床效果。方法对2007年1月～2012年1月间入院治疗下椎骨骨折脱位的患者应用后路侧块螺钉手术方法治疗,其中13例患者应用Roy-Camille技术,21例患者应用Magerl技术。术后对所有患者随访6个月,观察患者术前术后生活质量、ASIA分级等。结果术后X拍片显示新鲜脱位患者均解剖复位。对所有患者随访6个月,无死亡患者,5例完全瘫痪的患者有不同程度的肢体感觉恢复,29例不完全瘫痪的患者有6例可进行基础活动,另外23例患者可活动范围也有较大提高。术后患者的生活质量有了明显提高。6例神经损伤患者术后神经功能完全恢复,28例脊髓受损的患者的ASIA分级比术前平均提高了1级。结论后路侧块螺钉治疗下颈椎骨折脱位疗效显著、固定可靠、患者受痛苦小,对椎管的正常复位及脊髓、神经功能的恢复也有积极作用。Objective To study and analyze the clinical effect of posterior lateral mass screw in the treatment of lower cervical spine fracture and dislocation.Methods The patients hospitalized from January 2007 to January 2012 with the lower vertebrae fracture and dislocation were taken with posterior lateral mass screw surgical treatments,of which 13 patients were treated with Roy-Camille,21 patient was taken with Magerl technique.All the patients were taken for 6 months of follow-up after surgery.The quality of life and ASIA classification for the patients preoperative and postoperative was observed.Results Postoperative X film showed the fresh dislocation patients were anatomical reductiont.All patients were followed up for 6 months,no deaths,five cases that completely paralyzed patients were with varying degrees of limb sensory recovery,29 cases that not completely paralyze were with six cases can be carried out foundation activities,another 23 cases of patients with gram activities range also had greatly increased.The quality of life had been significantly improved after surgery.Six cases of nerve function in patients with nerve injury were fully recovered,28 cases of spinal cord injury patients with ASIA grade increased by an average of 1 than before the surgery.Conclusion The clinical effect of posterior lateral mass screw in the treatment of lower cervical spine fracture and dislocation is significant,and has the advantages of reliable fixation,patients affected by pain of the spinal canal normal reset.It has a positive effect on the spinal cord and neurological recovery.

关 键 词：后路 侧块螺钉 下颈椎骨折脱位 疗效 

分 类 号：R687.3[医药卫生—骨科学]