椎弓根钉棒系统治疗齿状突骨折引起的寰枢椎不稳21例.pdf

中国组织工程研究与临床康复 第 12 卷 第35 期 2008 –08 –26 出版 Journal of Clinical Rehabilitative Tissue Engineering Research August 26, 2008 Vol.12, No.35 临床医学 椎弓根钉棒系统治疗齿状突骨折引起的寰枢椎不稳21例 万 仑，张 斌，胡 豇，刘仲前 Atlantoaxial pedicle screw system for odontoid fracture-caused atlantoaxial instability in 21 cases Wan Lun, Zhang Bin, Hu Jiang, Liu Zhong-qian Abstract BACKGROUND: Posterior transarticular screw fixation (Magerl’s) is recommended for atlantoaxial instability. However, some Department of patients do not suit for Magerl’s fixation. Orthopedics, Sichuan Provincial People’s OBJECTIVE: To evaluate the clinical outcomes of atlantoaxial pedicle screw system in the treatment of atlantoaxial instability Hospital, Chengdu from odontoid fracture. 610072, Sichuan DESIGN, TIME AND SETTING: The retrospective case analysis was performed at the Department of Orthopedics, Sichuan Province, China People’s Hospital between July 2004 and June 2007. Wan Lun, Associate PARTICIPANTS: Twenty-one cases of atlantoaxial instability from odontoid fracture were selected. According to Anderson chief physician, and D’Alonzo classification, 9 of them belonged to type II odontoid fracture with atlantoaxial instability and 12 to type III with Department of severe atlantoaxial dislocation. All cases suffered pain at occipitocervical part and limited activities of cervical spine. According Orthopedics, Sichuan to Frankel classification in function of spinal cord, 16 cases of them belonged to Gr