颈椎前路带锁钢板临床应用的并发症及预防  

The complications of the anterior locking cervical plate systems and their prevention

作　　者：陈德玉[1] 贾连顺[1] 袁文[1] 肖建如[1] 倪斌[1] 戴力扬[1] 沈强[1] 

机构地区：[1]第二军医大学长征医院骨科,上海200003

出　　处：《中华骨科杂志》2001年第5期287-289,共3页Chinese Journal of Orthopaedics

摘　　要：目的 分析颈椎前路带锁钢板螺钉系统临床应用并发症的产生原因并提出预防措施。方法 随访颈椎前路带锁钢板治疗颈椎骨折脱位、脊髓型颈椎病和颈椎椎体肿瘤 167例病例，观察带锁钢板螺钉系统应用的并发症。结果 与颈椎前路带锁钢板有关的并发症包括固定螺钉进入椎间隙、单一螺钉退出、钢板拔出及食道瘘等，共 19例患者 (26例次 ),多数与手术操作不当有关。结论 严格颈椎前路带锁钢板固定的适应证和熟练手术操作是预防其并发症发生的关键。Objective To study the complications and prevention methods for the different anterior locking cervical plate systems. Methods One hundred and sixty-seven patients with the cervical spondylotic myelopathy, fracture-dislocations or tumor of the cervical spine were treated using AO, Orion, and SpineTech anterior locking cervical plate systems. The complications related to the different plate systems were observed. Results The complications related to the anterior cervical plate occurred in 19 patients which included protrusion of the fixation screws into disc space,migration of the screws and plate and esophagus fistulae. Most of the complications were caused by improperly technological performance. Conclusion It is important to have correct patient selection and follow the technical principles of the different anterior locking cervical plate systems for the prevention of the complications.

关 键 词：颈椎 骨板 内固定器 手术后并发症 骨折脱位 

分 类 号：R687[医药卫生—骨科学]