下颈椎骨折脱位路内固定治疗研究.pdfVIP

T h e stu dy of su 落 ealtrea恤 en t of low er ce币 ca lfractu re s an d d islocation s 勿 an terior 加tern al血 ation S P eci a肪ty : O rht oP ed ies of T C M A u th or : G uo Q u nfen g Tu to r : P ro f.X U Z h an 、van g A b str a ct o bjeC柱v e : To d iseu ss the v alu e of surgieal tre atm ent of low er eervieal fractures an d d islo eatio n s b y ant er io r d e e o m P re ssio n ， b o n e graft an d intem a l f ix atio n su rg ery ， an d th e afl七etio n o f su rg ery tim e to surg ieal re su lts.M eth o d : T h iryt 一朴刀。ease s o f lowe r eerv ieal fra ctu re s an d d islo eatio n s w ere in v o lv e d .A ll ease s w ere o P erated in g en era l an a e sth e sia b y an teri or d e eo m P re ssion ， red u etio n ， a u to 一ilia c g raft an d e erv iea l SP in e lo ek in g P la te f ix atio n .Th ey w ere d iv id ed int o tw o gro uP s to an a ly z e the a ffe etio n o f sur g le a l t加 e .R esu lt: 2 7 ease s g o t eo m P ICCt ly re d u etio n ， 即 d 5 ease s o b ta ine d m o re than 9 0 % red u etio n . T h e fo llo w- uP was 14 .6 8 7 5 士 3 .2 2 7 3 m o n th s in av erag e . Th e n o rm al intervertebral h eight and loulo sis w ere m aintained ，and there w ere no P lates an d serew s eo m P lieatio n s. 2 4 e ase s w i th in eo m P le te ly n euro lo g iea l d e feet an d 4 w i th co m P le tely n eur o lo g iea l d e feet g o t im P rov e d P o sto P erativ e ly.Th e su rg lea l resu lts w e re P rom in ent ， 即 d the re w as no 51加 fieant diffe renee be幻刀een tw o gro uP s.C on clu sion : F or low er eervieal 丘actro es an d dislo eatio n s ， an id eal redu etio n an d imm ed iate ly stba ility ean b e obtain ed b y