第二颈椎骨折脱位的手术治疗及其进展  

The fracture dislocation of axis: surgical treatment and its progress

作　　者：侯铁胜[1] 陈语[1] 

机构地区：[1]第二军医大学长海医院骨科,上海市200433

出　　处：《中华创伤骨科杂志》2002年第4期306-307,310,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：第二颈椎骨折脱位是一种上颈椎常见的严重创伤,特殊的解剖结构决定了其手术难度大、风险高的特点。近年来,随着各种颈椎内固定系统的问世和技术的改进,对于此类骨折脱位的手术治疗出现了一些新方法,包括:颈后路C1-2植骨融合内固定术、C1后弓切除减压术、枕颈融合内固定术、颈前路内固定术治疗齿突骨折脱位;颈前路减压、植骨融合内固定治疗椎弓骨折脱位。可使用器械包括椎板夹、棒或钢板、螺钉等。每种方法和器械都有其优缺点和适应证。本文总结了各种术式和多种内固定技术应用的适应证、效果和潜在的并发症。The fracture dislocation of axis is a common kind of severe trauma.Because of particular anatomic characteristics of axis, the operation is difficult and highly risky. However, with introduction of new instrumentation and improvement of surgical techniques, innovative methods have been developed in recent years, including posterior C1-2 fusion and internal fixation, decompression by the dissection of C1 posterior arch, occipitocervical fusion and internal fixation, anterior internal fixation for dens fracture dislocation, anterior decompression and internal fixation for vertebral arch fracture dislocation. The available instruments include interlaminar clamp, rod or plate, screw, etc. All these methods and instruments have their respective advantages and disadvantages and indications. In this paper, The indications, effects, and potential complications of them are discussed.

关 键 词：第二颈椎骨折 骨折脱位 手术治疗 综述 

分 类 号：R683.2[医药卫生—骨科学]