后路钉棒固定系统治疗陈旧性Ⅱ型齿突骨折的疗效观察  

Clinical efficacy of posterior screw-rod fixation system for old type Ⅱ odontoid fracture

作　　者：王海莹[1] 丁文元[1] 王辉[1] 杨大龙[1] 白智龙[1] 杜伟亮 宋艳丽[1] 申勇[1] 

机构地区：[1]河北医科大学第三医院脊柱外科,河北石家庄050051

出　　处：《颈腰痛杂志》2014年第2期85-89,共5页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨后路钉棒固定系统治疗陈旧性II型齿突骨折的临床疗效。方法回顾性分析2002-04-2012-08于我院手术治疗的陈旧性II型齿突骨折患者35例,均于全麻下行后路寰椎侧块螺钉+枢椎椎弓根螺钉固定术,记录患者的手术时间、出血量、术前、术后三个月及末次随访时的JOA评分,评估术后患者轴性疼痛的发生情况,观察患者术中及随访期间并发症的发生情况。结果术前与术后三个月、术后三个月与末次随访JOA评分均有显著性差异(P<0.05)。结论后路钉棒固定系统可有效复位陈旧性II型齿突骨折和实现寰枢椎的融合。Objective To investigate the clinical efficacy of posterior screw-rod fixation system for old type II odontoid fracture. Methods From April 2002 to August 2012,the clinical data of 35 cases with old type II odontoid fracture undergoing the posterior screw-rod fixation were retro- spectively reviewed. All the patients were treated with lateral mass screw of atlas combined with vertebra dentata pedicle screw under the general anesthesia. The operative time,blood loss and JOA score were recorded,the occurrence of post-operative axial pain was measured, and the incidence of complications during operation and follow-up period was observed. Results There were significant- ly statistical differences in JOA score between preoperation and postoperative three months and be- tween postoperative three months and final follow-up（P〈0.05）. Conclusion Posterior screw-rod fix- ation system can effectively realize old type II odontoid fracture restoration and atlanto-axial verte- bral fusion.

关 键 词：齿状突骨折 后路 椎弓根螺钉 内固定 

分 类 号：R683.2[医药卫生—骨科学] R687.32[医药卫生—外科学]