下颈椎不稳颈椎过伸性损伤手术时的选择  

作　　者：唐步顺 颜程 胡汉祥 张小克 

机构地区：[1]浙江省永康市第一人民医院骨一科,321300

出　　处：《浙江临床医学》2015年第6期897-899,共3页Zhejiang Clinical Medical Journal

摘　　要：目的：探讨合并下颈椎不稳的颈椎过伸性椎间微脱位损伤的手术时机对疗效的影响。方法回顾性分析2010年6月至2013年5月手术治疗的56例合并下颈椎不稳的颈椎过伸性脱位损伤患者的临床资料。结果56例患者均获随访6-24个月，平均16.5个月。经统计学分析：不同手术时机组内及组间差异均有统计学意义（P〈0.05），术后优于术前、A组优于B组、B组优于C组。结论对于伴有下颈椎不稳的过伸性颈椎间微脱位损伤，越来越倾向于早期手术减压。不论采取何种手术方式，均应对不稳节段进行可靠的固定。Objective To discuss the significance of opportunity of operation for the lower cervical instability resulted from cervical hyperextension injury. Methods The clinical data of 56 patients with cervical hyperextension injury were reviewed and analyzed. They were divided into group A （0-7d）, B （8-14d） and C（〉14d） according to opportunity of operation. To analyze the curative effect of different surgical opportunities by comparing preoperative and postoperative modified Frankel grading and ASIA score within the same group and among groups. Results 56 patients were followed up for 6-24 months, averaged 16.5 months. It was found that neural function improved greatly after operation in all surgical groups .Group A had significantly better outcome than Group B, and Group B better than Group C. Conclusions Early operation had obtained more and more coincident assent. Inter-vertebral instability should be fixed using either anterior or posterior operational approach.

关 键 词：颈椎 过伸性损伤 下颈椎不稳 手术时机 

分 类 号：R651.2[医药卫生—外科学]