Halo-Vest内外固定与植入物联合治疗下颈椎骨折脱位的临床分析  

Combined therapy of implants internal fixation and Halo-Vest external fixation for the treatment of subaxiaI cervical fracture-dislocation

作　　者：王志勇[1] 余化龙[1] 何宁[1] 刘志刚[1] 曾云[1] 韩珩[1] 郭乐运[1] 熊敏[1] 

机构地区：[1]湖北医药学院附属东风医院脊柱外科,湖北十堰442008

出　　处：《中国医学前沿杂志（电子版）》2014年第5期78-80,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的：研究分析采用内外Halo-Vest固定与植入物联合治疗下颈椎骨折脱位的临床疗效。方法选取本院2010年11月至2013年8月收治的100例下颈椎骨折脱位患者，按照治疗方法的不同分为两组，观察组50例，采用Halo-Vest外固定和植入物内固定联合治疗；对照组50例，采用颅骨牵引配合手术治疗。治疗结束后通过影像学检查患者伤处，并用Frankel分级进行疗效评价。结果对所有患者进行6～24个月的随访，平均随访时间（14.2±2.1）个月。X射线正侧位片检查两组患者的伤处脱位均复位，颈椎的生理弧度得到了恢复，观察组患者复位所需时间和对照组相比有显著缩短，并且观察组患者完全复位率高，更有利于脊髓功能恢复，观察组患者治疗后的离床时间明显短于对照组，差异具有显著性（P＜0.05）。结论 Halo-Vest外固定与植入物内固定联合治疗下颈椎骨折脱位可大大改善复位功能，更好地恢复患者脊柱的矢状位对线。ObjectiveTo explore the clinical effect of implant internal fixation and Halo-Vest external ifxation on the stability after treatment of subaxial cervical fracture-dislocation.Methods100 patients with subaxial cervical fracture-dislocation in the department of orthopedic in our hospital form November 2010 to August 2013 were randomly divided two groups, the observation group of 50 patients with combined therapy of implants internal ifxation and Halo-Vest external ifxation and the control group used skull traction. The treatment effect was evaluated through Frankel classification and imaging examination.ResultAll the patients were followed up for 6~24 months, average （14.2±2.1） months. Normal anteraposterior X-ray film showed fracture reduction, the cervical vertebra restored to the normal sequence and physiological curvature. On the reduction of lower cervical injury groups, the observation group signiifcantly better than the other group, and the time for bed rest was much less than the control group, the difference was statistically signiifcant （P〈0.05）.ConclusionImplant internal ifxation combined with Halo-vest external ifxation is safe and reliable in the instability ifxation of subaxial cervical fracture-dislocation, and can better restore the spinal sagittal alignment.

关 键 词：下颈椎骨折脱位 HALO-VEST 植入物 颅骨牵引 

分 类 号：R687.3[医药卫生—骨科学]