前路手术治疗下颈椎骨折脱位伴关节交锁的研究进展  

Anterior surgical approach for lower cervical fracture and dislocation combined with facetinterlocking: a review

作　　者：王寅 王彦金 周英杰 杨磊 Wang Yin;Wang Yanjin;Zhou Yingjie;Yang Lei(Department of Spinal Surgery,Luoyang Orthopedic‑Traumatological Hospital of Henan Province(HenanProvincial Orthopedic Hospital),Luoyang 471002,China;Graduate School,Henan University of Chinese Medicine,Zhengzhou 450046,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)脊柱外科,洛阳471002 [2]河南中医药大学研究生院,郑州450046

出　　处：《中华创伤杂志》2024年第5期467-474,共8页Chinese Journal of Trauma

基　　金：洛阳市科技计划项目(2101031A)。

摘　　要：下颈椎骨折脱位伴关节交锁是由屈曲牵张及旋转暴力所造成的一种急性脊柱脊髓损伤,导致患者不同程度的四肢瘫痪和大小便障碍,具有较高的致残率,多需手术治疗。下颈椎骨折脱位伴关节交锁的手术治疗方案包括前路手术、后路手术及联合入路手术,但最佳治疗方案尚无定论。前路手术具有入路简单、创伤小、并发症少及矢状位平衡保持好等优点,目前是治疗下颈椎骨折脱位伴关节交锁的首选方案。然而,前路的手术复位及固定方法众多,学者们对前路手术复位及固定方案的选择尚存在争议。对此,笔者对前路手术治疗下颈椎骨折脱位伴关节交锁的研究进展进行综述,旨在为其临床治疗提供参考依据。Lower cervical fracture and dislocation combined with facet interlocking is an acute spinal cord injury caused by flexion⁃distraction and rotational force.It can result in various degrees of quadriplegia and urinary and defecation disorders,with a high rate of disability,most of which requires surgical treatment.Surgical treatment options for lower cervical fracture and dislocation combined with facet interlocking include anterior approach,posterior approach and combined surgical approach.However,the optimal treatment option remains to be determined.The anterior approach,with the advantages of simple access,smaller trauma,fewer complications,and good sagittal balance,is currently the preferred treatment option for lower cervical fracture and dislocation combined with facet interlocking.Many methods of surgical repositioning and fixation are available in anterior approach,but the choice of surgical repositioning and fixation options in anterior approach is still controversial among scholars.For this purpose,the authors reviewed the progress of researches on anterior surgical approach for lower cervical fracture and dislocation combined with facet interlocking,aiming to provide a reference for its clinical treatment.

关 键 词：颈椎 脊柱骨折 脱位 椎关节突关节 外科手术 

分 类 号：R687.3[医药卫生—骨科学]