小儿下颈椎稳定性的外科重建  

SURGICAL RECONSTRUCTION OF THE STABILITY OF LOWER CERVICAL SPINE IN CHILDREN

作　　者：刘浩[1] 宋文锴[1] 宋跃明[1] 彭明惺[2] 刘文英[2] 

机构地区：[1]四川大学华西医院骨科,成都610041 [2]四川大学华西医院小儿外科,成都610041

出　　处：《中国修复重建外科杂志》2002年第3期188-190,共3页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：四川省科委科研基金资助项目 (G980 6)

摘　　要：目的　探讨因创伤、结核或肿瘤引起的下颈椎不稳定的重建方法。方法　针对 8例年龄 2～ 7岁 ,平均4 .1岁的患儿行前路减压 ,大块髂骨植骨 ;后路棘突钢丝内固定 ,植骨融合术。结果　术后随访 6个月～ 4年 3个月 ,脊髓神经功能完全恢复 3例 ,部分恢复 4例 ,1例死于并发肺部感染。植骨完全融合 5例 ,处于融合阶段 2例。结论　采用前路减压加大块髂骨植骨 ,后路棘突钢丝内固定融合术 。Objective To investigate surgical reconstruction of stability of lower cervical spine in children suffering trauma, tuberculosis and tumor. Methods From January 1998 to September 2001, 8 cases of unstable lower cervical spine were treated by operations, of anterior decompression, massive iliac bone grafting, posterior fixation with spinous process tension band wiring, and fusion with heterogeneous iliac bone grafting. Resulds With an average following up of 1 year and 9 months (6 months to 4 years and 3 months), 3 cases recovered excellently, 4 cases recovered well and 1 case died of pulmonary infection. Conclusion The above results indicate that anterior decompression, massive iliac bone grafting, posterior fixation with spinous process tension band wiring and fusion with heterogeneous iliac bone grafting can be used as one of the methods to reconstruct the stability of lower cervical spine in children.

关 键 词：前路减压 大块髂骨植骨 后路棘突钢丝内固定 小儿 下颈椎稳定性 外科重建 

分 类 号：R726.8[医药卫生—儿科]