颈后路非融合寰枢椎内固定技术治疗Anderson Ⅲ型齿突骨折的临床研究.docVIP

颈后路非融合寰枢椎内固定技术治疗Anderson Ⅲ型齿突骨折的临床研究 　　[摘要] 目的 探讨颈后路非融合寰枢椎内固定技术对于Ⅲ型齿突骨折的治疗效果。 方法 对2006年3月～2015年3月收治的18例Ⅲ型齿状突骨折患者进行改良颈后路非融合内固定技术治疗。 结果 随访7～26（10.1±1.4）个月，18例齿突骨折均愈合，临床症状完全消失15例，明显改善3例，无脊髓神经损伤并发症，内固定物无松动断裂，术后颈椎活动度良好，颈椎JOA评分明显改善，术后效果优良率为88.9%。 结论 改良颈后路非融合内固定技术治疗Ⅲ型齿突骨折手术创伤较小，恢复快，并保留了寰枢椎的生理活动功能。 　　[关键词] 齿突骨折；非融合；内固定；寰枢椎；改良 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2016）25-0064-03 　　Clinical study of non-fusion atlantoaxial internal fixation by cervical posterior approach in the treatment of anderson type Ⅲ fracture of odontoid process 　　WANG Lu1 CHENG Cai1 LI Shukui1 LI Lingxia2 　　1. Department of Orthopaedics， Cangzhou Central Hospital in Hebei Province， Cangzhou 061001， China； 2. Department of Clinical Pharmacy， Cangzhou Peoples Hospital in Hebei Province， Cangzhou 061000， China 　　[Abstract] Objective To investigate the efficacy of non-fusion atlantoaxial internal fixation by cervical posterior approach in treating Ⅲ type fracture of odontoid process. Methods Improved non-fusion internal fixation by cervical posterior approach was given to the 18 patients with type Ⅲ fracture of odontoid process who were admitted in our hospital from March 2006 to March 2015. Results After follow-ups for 7-26 （10.1±1.4）months， 18 cases of fracture of odontoid process were all healed. Among them， the clinical symptoms of 15 cases were completely diminished and 3 cases were obviously improved. No complications of spinal nerve injuries and no loosening or rupture of internal fixator were found. The cervical mobility after operation was good with significantly improved cervical JOA score. The good rate of postoperative efficacy was 88.9%. Conclusion Improved non-fusion internal fixation by cervical posterior approach in the treatment of type Ⅲ fracture of odontoid process is featured by minimal invasion and quick recovery， which also preserve the physiological function of atlantoaxial. 　　[Key words] Fracture of odontoid process； Non-fusion； Internal fixation； Atlantoaxial； Im