CAJ | 학술논문

目的探讨无脊髓损伤颈椎骨折脱位的牵引加手术治疗方式的选择指征.方法对14例无脊髓损伤颈椎骨折脱位患者,全部采用颅骨牵引加手术治疗.其中前路手术10例,后路3例,前后联合手术1例.结果术后11例获解剖复位,3例稍差.所有患者手术后均达到生活自理并参加一般性工作学习.植骨均获融合.未发生钢板断裂及螺钉松动、断裂等并发症.结论对无脊髓损伤颈椎骨折脱位患者宜行牵引加手术植骨融合内固定治疗.术前经牵引复位者,前路手术为首选;不能经牵引复位者,可据有无椎间盘的损伤而考虑行单纯的后路手术还是行前后联合手术.
목적 탐토무척수손상경추골절탈위적견인가수술치료방식적선택지정.방법 대14례무척수손상경추골절탈위환자,전부채용로골견인가수술치료.기중전로수술10례,후로3례,전후연합수술1례.결과 술후11례획해부복위,3례초차.소유환자수술후균체도생활자리병삼가일반성공작학습.식골균획융합.미발생강판단렬급라정송동、단렬등병발증.결론 대무척수손상경추골절탈위환자의행견인가수술식골융합내고정치료.술전경견인복위자,전로수술위수선;불능경견인복위자,가거유무추간반적손상이고필행단순적후로수술환시행전후연합수술.
Objective To study the traction and surgical treatment for cervical spinal fractures and dislocations without spinal cord in-jury. Methods Fourteen cases of cervical fractures and dislocations without spinal cord injury, were treated with anterior decompression, re-duction, autograft ,3 cases with posterior surgery, 1 case with anterior and posterior surgery. Results Clinical manifestations were improved in all cases,11 cases got anatomical reduction .3 cases was reduces partially.all cases went back to work and 14 cases Intervertebral heights and physiologic curves were kept well,autograft bone got fusion and there were no plate/screw break or loose. Conclusion Traction and surgery treatment surgery is preferred to cervical spinal fractures and dislocation without spinal cord injury. Through anterior approach, it is feasible to get complete decompression,good reduction.The cases who could not were reduced through traction,were treated with posterior surgery or ante-rior-posterior surgery.