颈1、2椎弓根钉棒系统固定非融合治疗新鲜齿状突骨折的临床研究.docVIP

精品论文 参考文献 颈1、2椎弓根钉棒系统固定非融合治疗新鲜齿状突骨折的临床研究 王晓林 曾凡伟 王浩 张东 何秦 (四川省达州市中心医院骨科 635000) 【摘要】目的 探讨颈1、2椎弓根钉棒系统固定非融合治疗新鲜齿状突Ⅱ型骨折的疗效。方法 2008年1月至2011年12月，共20例小于50岁的新鲜齿状突Ⅱ型骨折患者，其中男13例，女7例。均采用颈1、2椎弓根螺钉固定，未植骨融合，骨折愈合后取出内固定观察颈椎旋转功能恢复情况。结果 20例患者均获随访，随访时间6～18个月，平均12个月。随访时均行CT三维重建以了解骨折愈合请况。术后3～6个月骨折愈合，平均5个月。骨折愈合后取出内固定，行颈椎功能位检查，所有患者稳定性良好。初期颈椎旋转功能明显降低，经指导功能锻炼及理疗 3个月后，所有旋转功能改善接近正常。结论 后路寰枢椎椎弓根螺钉固定具有稳定的三维固定效果，能满足年轻患耆新鲜齿状突骨折愈合需要，而不需寰枢椎融合，骨折愈合后取出内固定有利于恢复上颈椎旋转功能。 【关键词】新鲜齿状突骨折 非融合 椎弓根螺钉 【中图分类号】R687 【文献标识码】A 【文章编号】2095-1752（2013）07-0129-02 CI-C2 pedicle screw fixation and non-fusion for fresh odontoid fractures Wang xiaolin Zeng fanwei Wang hao Zhang dong He qin Dazhou Central Hospital，Dazhou 635000，China 【Abstract】Objective To explore the efficacy of C1-C2 pedicle screw fixation and non—fusion for flesh odontoid fractures.Methods 20 patients(13 males and 7 females，aged less than 50 years)with fresh type odontoid fractures who had been hospitalized during the period of January 2008 to February 2011 received C1- C2 pedicle screw fixation and non-fusion. The screws were removed after fractures were cured to observe the rotation function of the cervical spine.Results All the patients were followed up for 6 to 18 months.with an average of 12 months.CT scans showde fractures healing occurred from 3 to 6 months after surgery in all the patients，with an average of 5 monlhs.cervical function was assessed after the screws were removed.The rotation function of the cervical spine was significantly reduced after surgery，but it returned to near normal after 3 months functional exercises and physical therapy.Conclusions Atlantoaxial posterior pedicle screw fixation without atlantoaxial fusion has a stable three—dimensional fixing effects and meets the need of healing in younger patients with fresh odontoid fractures.Screw removal after fracture healing is beneficial for the recovery of upper cervical spine rotation. 【Key words】fresh