齿突骨折伴迟发性脊髓损伤的治疗  

Treatment for Odontoid Fracture and Delayed Cervical spinal cord lesions

作　　者：曾述强[1] 张功林[1] 葛宝丰[1] 

机构地区：[1]兰州军区总医院脊柱外科,730050

出　　处：《实用骨科杂志》2000年第4期228-230,共3页Journal of Practical Orthopaedics

摘　　要：探讨齿突骨折与迟发性脊髓损伤的关系及其外科治疗方法的选择。对 12例齿突骨折伴迟发性脊髓损伤患者全部施行手术治疗。枕颈融合术采用椎板钩固定法 7例 ,颅颈槽式钢板固定法 5例。随访 6月～ 4年 8个月 ,平均 2年 8个月。结果显示 ,12例椎板植骨全部愈合。功能评价 :优 8例 ,良 3例 ,可 1例。认为陈旧性齿突骨折 ,造成寰枢椎不稳 ,最终导致寰枢椎脱位及脊髓压迫症 ,应积极选择牵引复位 ,后方减压 ,坚强内固定及枕颈融合术。To study the relation between the charateristics of odontoid fracture and delayed cervical spinal cord lesion and selection of their surgical Treatment.Twelve cases of odontoid fracture with delayed spinal cord lesion were treated by operation.Seven cases of them were operated with an interlaminar hook and five cases with chamfer plate fixation.The follow up period is from 6 months to 4 years and 8 months,The average is 2 years and 8 monsths,Funtion evalution excellent 8 cases,good 3 cases,better 1 case.It is suggested that old odontiod fracture inducing delayed atlantoaxial dislocation and spinal cord compression must be treated surgically by Halo-vest reduetion,decompression,interanl fixation and occipital-atlanto-axis region fusing.

关 键 词：齿突骨折 脊髓损伤 迟发性 外科手术 

分 类 号：R683.206[医药卫生—骨科学] R651.205[医药卫生—外科学]