早期前路手术治疗下颈椎骨折脱位21例效果观察  

The clinical effect of early anterior surgery in 21 patients with cervical spine fracture and dislocation

作　　者：宁运乾[1] 贾世青 邹焕汶 刘昌生[1] 陈涛[1] 

机构地区：[1]玉林市中西医结合骨科医院脊柱外科,广西537000

出　　处：《中国临床新医学》2016年第7期638-640,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨早期前路复位减压、植骨融合内固定术治疗下颈椎骨折脱位的效果。方法采用颈前路手术治疗21例下颈椎骨折脱位伴不同程度神经功能损伤患者。依据Frankel分级评价手术前后的神经功能,观察术后植骨融合情况、椎间高度和颈椎椎体序列。结果 21例患者均获得随访,平均随访22个月（6~36个月）,术后切口均甲级愈合,无切口感染,内固定物和植骨稳定无松动,融合满意,X线示椎间隙高度和颈椎序列恢复满意。术前Frankel分级：A级2例,B级9例,C级7例,D级3例,E级0例。术后Frankel分级明显改善,A级2例,B级4例,C级6例,D级7例,E级2例。结论采用早期前路复位减压、植骨融合内固定术治疗下颈椎骨折脱位,颈椎生理曲度恢复良好,融合率高,远期疗效满意,是一种有效、简便、安全的方法。Objective To explore the clinical effect of early anterior surgery in patients with cervical spine fracture and dislocation. Methods Early anterior surgery was performed on 21 cases with cervical spine fracture and dislocation complicated with some degree of nerve function damage. The neural function was evaluated using Frankel classification before and after the operation,and the postoperative bone graft fusion,intervertebral height and cervical vertebral sequence were observed. Results All the 21 patients were followed up,with an average follow-up of 22months（ 6 ~ 36 months）. The patients had first grade healing in postoperative incision,without infections and loose,internal fixation and bone grafts,X-ray showed that intervertebral height and cervical sequence recovered satisfactori-ly. Preoperative Frankel classifications： Grade A was in 2 cases,grade B in 9 cases,grade C in 7 cases,grade D in3 cases and grade E in 0 cases. Postoperative Frankel classifications： Grade A was in 2 cases,grade B in 4 cases,grade C in 6 cases,grade D in 7 case,grade E in 2 cases. The postoperative Frankel classification was significantly improved than the preoperative Frankel classification. Conclusion Early anterior surgery is safe,effective and simple for patients with cervical spine fracture and dislocation.

关 键 词：颈椎 骨折 脱位 前路 

分 类 号：R68[医药卫生—骨科学]