15例Hangman骨折前路融合钛板固定分析  

Anterior Cervical Fusion with Titanium Plate Fixation for Hangman's Fracture:An Analysis of 15 Cases

作　　者：江海亮[1] 潘剑成[1] 张宗明[1] 林阳[1] 杨文超[1] 贺立新[1] 

机构地区：[1]中国人民解放军第181医院脊柱外科,广西桂林541002

出　　处：《南昌大学学报（医学版）》2014年第11期52-55,共4页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨前路融合钛板内固定术治疗Hangman骨折的疗效和应用价值。方法 2003年3月至2011年3月,对15例Hangman骨折患者行颈椎前路融合钛板内固定术。术后进行10~18个月随访,平均随访12个月。结果术后症状明显恢复。全部病例颈椎生理前凸维持良好,C2椎弓骨的线模糊。术后6个月植骨融合率达到100%。无内固定系统松动及断裂现象存在。结论应用颈前路植骨融合内固定术治疗不稳定性Hangman骨折,具有术后上颈椎即时稳定,防止植骨块移位,无须石膏固定,维持生理前凸,促进骨折愈合和植骨融合率高等优点。Objective To investigate the efficacy and value of anterior cervical fusion with titanium plate fixation for the treatment of hangman＇s fracture.Methods Fifteen patients with hangman＇s fracture underwent anterior cervical fusion with titanium plate fixation from March2003 to March 2011.Patients were followed up for an average of 12 months（range,10 to 18months）.Results Clinical symptoms were relieved and cervical lordosis was maintained with blurry C2 vertebral arch fracture line in all patients after operation.Bone graft fusion rate reached100% 6months after operation.No loosening and fracture of fixation system were found in all patients.Conclusion Anterior cervical fusion with titanium plate fixation can result in immediate stability,prevent graft dislodgement,avoid plaster immobilization,maintain cervical lordosis,promot fracture healing and increase bone graft fusion rate in the treatment of hangman＇s fracture.

关 键 词：上颈椎 HANGMAN骨折 植骨融合 内固定术 

分 类 号：R683.2[医药卫生—骨科学]