单纯前路撬拨复位内固定治疗颈椎骨折脱位伴关节突交锁患者的临床效果  

Clinical Effect of Simple Anterior Poking Reduction Internal Fixation in the Treatment of Patients with Cervical Spine Fracture Dislocation Complicated with Locked Facet

作　　者：柴旭斌 周英杰 禚汉杰 郝宇鹏 CHAI Xubin;ZHOU Yingjie;ZHUO Hanjie;HAO Yupeng(nd Department of Spinal Surgery,Henan Luoyang Orthopedic Hospital/Henan Orthopedic Hospital,Luoyang 471002,China)

机构地区：[1]河南省洛阳正骨医院/河南省骨科医院脊柱外二科,河南洛阳471002

出　　处：《临床医学工程》2024年第3期275-276,共2页Clinical Medicine & Engineering

基　　金：洛阳市科技计划项目(编号:2101031A)。

摘　　要：目的 探讨单纯前路撬拨复位内固定治疗颈椎骨折脱位伴关节突交锁患者的临床效果。方法 将60例颈椎骨折脱位伴关节突交锁患者随机分为两组各30例。对照组采用单纯后路钉棒复位内固定治疗,观察组采用单纯前路撬拨复位内固定治疗,比较两组的治疗效果。结果 观察组椎体复位率为96.67%,高于对照组的80.00%(P <0.05)。观察组术后脊髓功能损伤ASIA分级A级、 B级占比低于对照组,E级占比高于对照组(P <0.05)。观察组术后并发症发生率为6.67%,低于对照组的26.67%(P <0.05)。结论 单纯前路撬拨复位内固定治疗可明显提高颈椎骨折脱位伴关节突交锁患者的椎体复位率,减轻患者脊髓功能损伤,降低术后并发症发生率。Objective To explore the clinical effect of simple anterior poking reduction internal fixation in the treatment of patients with cervical spine fracture dislocation complicated with locked facet.Methods 60 patients with cervical spine fracture dislocation complicated with locked facet were randomly divided into the two groups,with 30 cases in each group.The control group was treated with simple posterior screw rod reduction internal fixation,and the observation group was treated with simple anterior poking reduction internal fixation.The treatment effect was compared between the two groups.Results The vertebral reduction rate of the observation group was 96.67%,higher than 80.00%of the control group(P<0.05).The proportion of ASIA grade A and B of spinal cord function injury in the observation group was lower than that in the control group,and the proportion of grade E was higher than that in the control group(P<0.05).The incidence of postoperative complications in the observation group was 6.67%,lower than 26.67% in the control group(P<0.05).Conclusions Simple anterior poking reduction internal fixation can significantly improve the vertebral reduction rate,reduce the spinal cord function injury,and reduce the incidence of postoperative complications in patients with cervical spine fracture dislocation complicated with locked facet.

关 键 词：单纯前路撬拨复位内固定 颈椎骨折脱位 关节突交锁 

分 类 号：R687.3[医药卫生—骨科学]