寰枢椎脱位后路内固定与复位技术的研究进展  

Research progress of posterior internal fixation and reduction technology for atlantoaxial dislocation

作　　者：马仁财 马向阳 MA Rencai;MA Xiangyang(Graduate School of Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong 510405,China)

机构地区：[1]广州中医药大学研究生院,510405 [2]中国人民解放军南部战区总医院脊柱外科,广州510010

出　　处：《中国骨科临床与基础研究杂志》2024年第2期145-153,共9页Chinese Journal of Orthopaedic Clinical and Basic Research

基　　金：国家自然科学基金面上项目(82272582)。

摘　　要：寰枢椎后路手术是治疗寰枢椎脱位的常用方法,复位及内固定是手术成功的关键。后路固定技术目前主要包括线缆技术、椎板夹技术、Magerl技术、钉板固定和钉棒固定,复位技术包括后路撑开联合侧块支撑或植骨技术、后路撑开和/或加压复位技术。本文对寰枢椎后路内固定及复位技术的研究现状及优缺点进行综述,旨在为手术方式的选择提供指导。Posterior atlantoaxial surgery is a common method for treating atlantoaxial dislocation,in which reduction and internal fixation are the keys to successful surgery.Posterior fixation techniques include cable technology,vertebral lamina clamp technology,Magerl technology,screw-plate fixation and screw-rod fixation.Reduction techniques include posterior distraction combined lateral mass spacer or bone grafting technique,and posterior distraction or compression reduction technique.This article summarizes the current research status,advantages and disadvantages of posterior internal fixation and reduction techniques for atlantoaxial dislocation,aiming to provide guidance for the selection of clinical surgical methods.

关 键 词：寰枢关节 关节不稳定性 后路手术 内固定器 复位 

分 类 号：R684.7[医药卫生—骨科学] R687.32[医药卫生—外科学]