颈前路植骨融合内固定术治疗不稳定性Hangman骨折  

Anterior fusion with the Zephir internal fixation system in treatment of insta ble Hangman fracture

作　　者：侯铁胜[1] 石志才[1] 傅强[1] 赵杰[1] 贺石生[1] 李明[1] 张子峰[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》2004年第1期82-83,87,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨颈前路植骨融合内固定术治疗不稳定性Hangman骨折的疗效和应用价值。方法对6例不稳定性Hangman骨折患者行颈前路植骨融合,Zephir颈前路钢板系统内固定术。术后进行10～18个月(平均14个月)随访。结果术后症状明显恢复。全部病例颈椎生理前凸维持良好,C2椎弓骨折线模糊。术后6个月植骨融合率达到100%。无内固定系统松动和断裂现象存在。结论应用颈前路植骨融合内固定术治疗不稳定性Hangman骨折具有可获得术后上颈椎即刻稳定,防止植骨块移位,无须行石膏固定,维持颈椎生理前凸,促进骨折愈合和植骨融合率高等优点。Objective To evaluate the surgical management and results of anterior fusion with the Zephir internal fixation system for treatment of insta ble Hangman fractures. Methods Six patients with instable Hangman fracture under went anterior fusion and internal fixation with Zephir internal fixation. All pa tients were followed up for 10 to 18 months (mean 14 months). Results Clinical symptoms were relieved in all cases after operation. A stable bony fusion was ac hieved in all cases postoperatively. There was no broken or loosening implant. C onclusion For patient with instable Hangman fracture, anterior fusion and inter nal fixation with the Zephir fixation system offers the immediate stability and a high rate of successful bony fusion, prevents graft dislodgement or immobiliza tion, and enhances the healing of fracture.

关 键 词：颈前路手术 植骨融合术 内固定系统 不稳定性HANGMAN骨折 手术方法 

分 类 号：R687.3[医药卫生—骨科学]