下颈椎骨折脱位行颈后路侧块螺钉固定和颈前路钢板固定治疗的效果比较  

Comparison on Curative Effects of Posterior Lateral Mass Screw and Anterior Plate in Fixation of Fracture Dislocation of Inferior Cervical Vertebrae

作　　者：石凯明 李永斌[1] 刘清云[1] 赵光宗[1] 王炯[1] 

机构地区：[1]湘南学院附属医院脊柱外科,湖南郴州423000

出　　处：《临床医学工程》2015年第3期271-272,共2页Clinical Medicine & Engineering

摘　　要：目的比较颈后路侧块螺钉固定和颈前路钢板固定治疗下颈椎骨折脱位的效果。方法选取我院2009年2月至2014年4月期间我院收治的下颈椎骨折脱位病人,其中行颈后路侧块螺钉固定治疗21例,行颈前路钢板固定治疗17例。比较两种方法在治疗前后的Frankel神经功能、术前与术后改良JOA评分和并发症等。结果所有患者术后脊髓功能都得到不同程度改善;两组的术前与术后JOA评分具有统计学差异(P<0.05),两组间的术后及术前JOA评分无统计学差异(P>0.05),组间改善率无统计学意义(P>0.05)。结论下颈椎骨脱位的治疗,无论是行颈后路侧块螺钉固定或颈前路钢板固定,在临床上均有很好的效果,治疗效果相似。Objective To compare the curative effects of posterior lateral mass screw and anterior plate in fixation of fracture dislocation of inferior cervical vertebrae. Methods Patients with fracture dislocation of inferior cervical vertebrae admitted to our hospital from February 2009 to April 2014 were selected in this study including 21 cases with fixation of posterior lateral mass screw and 17 cases with fixation of anterior plate. The Frankel nerve function s and JOA scores of both methods were compared between pretreatment and posttreatment, and the complications of two methods were observed and compared. Results All patients had different degrees of improvements on postoperative spinal cord function; there were significant differences between preoperative and postoperative JOA scores in both methods（P〈0.05）, but there were no statistical differences between two methods in preoperative and postoperative JOA scores（P〉0.05）;there was no statistical significance between two methods in improvement rate of JOA score（P〉0.05）. Conclusions Both fixation of posterior lateral mass screw and fixation of anterior plate have very good curative effects on fixtion of fracture dislocation of inferior cervical vertebrae, and the therapeutic effects of two methods are similar.

关 键 词：下颈椎 骨折脱位 前路钢板 后路侧块螺钉 

分 类 号：R683.2[医药卫生—骨科学]