非融合寰枢椎内固定技术治疗AndersonⅡ型齿突骨折临床观察  

The clinical effect observation of non-fusion atlantoaxial fixation in odontoid fracture with anderson Ⅱ

作　　者：王路[1] 程才[1] 李书奎[1] 李凌霞 

机构地区：[1]河北省沧州市中心医院骨一科,061001 [2]河北省沧州市人民医院临床药学室,061000

出　　处：《临床合理用药杂志》2017年第7期32-33,35,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察非融合寰枢椎内固定技术治疗AndersonⅡ型齿突骨折的治疗效果。方法对AndersonⅡ型齿状突骨折患者20例行改良颈后路非融合内固定技术治疗,观察其治疗效果。结果 20例患者均愈合,临床症状完全消失17例,明显改善3例,无脊髓神经损伤并发症,内固定物无松动断裂,术后颈椎活动度良好。患者术后JOA评分为(14.2±3.1)分高于术前的(5.7±2.8)分,差异有统计学意义(t=12.37,P<0.01);术后Epstein标准优良率为80.0%(16/20)。结论改良颈后路非融合寰枢准内固定技术治疗AndersonⅡ型齿突骨折手术创伤较小,恢复快,并保留了寰枢椎的生理活动功能。Objective To observe the clinical effect of non-fusion atlantoaxial fixation in odontoid fracture with anderson Ⅱ. Methods 20 cases patients with type Ⅱ odontoid fracture were treated by modified posterior cervical non-fusion internal fixation,observe the clinical effect. Results 20 patients were healed,clinical symptoms completely disappeared in 17 cases,significantly improved in 3 cases. No complications of spinal cord injury,no loosening of internal fixation fracture,postoperative cervical motion was good. The postoperative JOA score was（ 14. 2 ± 3. 1） was higher than preoperative（ 5. 7 ± 2. 8）,the difference was statistically significant（ t = 12. 37,P〈 0. 01）. The postoperative standard rate of Epstein was 80. 0%（ 16 /20）.Conclusion Non-fusion atlantoaxial fixation in odontoid fracture with anderson Ⅱ has surgical trauma smaller,fast recovery and retain the physiological activities of atlantoaxial function.

关 键 词：齿突骨折 非融合 内固定 寰枢椎 

分 类 号：R687.3[医药卫生—骨科学]