下颈椎单侧关节突交锁改良的闭合复位技术及临床疗效观察  

A modified technique for treatment of unilateral locked facet of cervical spine and its clinical effect

作　　者：王新家[1] 姚关锋[1] 陈育春[1] 王伟东[1] 罗滨[1] 曾机灿[1] 

机构地区：[1]汕头大学医学院第二附属医院关节脊柱外科,广东汕头515041

出　　处：《中国骨与关节损伤杂志》2015年第1期11-13,共3页Chinese Journal of Bone and Joint Injury

基　　金：汕头大学医学院临床科研提升计划资助项目(201407);广东省自然科学基金资助(S2011010005018)

摘　　要：目的探索颈椎单侧关节突交锁闭合复位的简单安全和有效的新技术,并观察其临床应用安全性和疗效。方法回顾性总结分析自2009-05—2013-05采用Halo架辅助的改良闭合复位技术治疗下颈椎关节突交锁12例的资料,复位成功后行颈前路减压内固定术。结果本组12例采用改良的Halo架闭合复位技术闭合复位,均取得成功复位,时间40-110 min,平均65 min。复位成功后经前路椎间盘切除椎间融合内固定术8例,经前路椎体次全切除钛笼植骨内固定术4例。术后次日与术前比较神经功能无恶化。结论 Halo架辅助的改良闭合复位技术应用于术前闭合复位单侧关节突交锁,操作简单、安全有效,可以作为颈前路手术的辅助手段。Objective To explore a new, simple, safe and effective closed reduction technique for the treatment of unilateral locked facet of cervical spine（ULFCS）, and observe its clinical effect. Methods From May 2009 to May 2013, a retrospective analysis was done on 12 consecutive cases of ULFCS who underwent closed reduction by a modified technique of the halo-vest method. After reduction, only anterior cervical decompression and internal fixation was performed. Results Twelve patients underwent modified halo-vest technique with successful closed reduction, which took a mean time of 65 min（40-110min）. After close reduction, 8 patients were performed anterior cervical discectomy and interbody fusion and internal fixation,and the other patients with anterior cervical corpectomy with titanium mesh and bone graft and internal fixation. Aggravation of neurological damage was not observed. Conclusion These data demonstrated that modified Halo-Vest reduction technique can safely and effectively replace unilateral low cervical locked-facet. This technique can be widely used as an adjunctive mean for operation.

关 键 词：下颈椎 关节突交锁 单侧 闭合复位 技术改良 

分 类 号：R687.3[医药卫生—骨科学]