CAJ | 학술논문

目的：探讨经后路寰枢椎椎弓根螺钉内固定治疗Ⅱ型齿突骨折合并寰枢椎脱位的临床疗效。方法对2010年10月～2012年9月收治的20例Ⅱ型（ Anderson分型）齿突骨折合并寰枢椎脱位的患者行后路寰枢椎椎弓根螺钉内固定术治疗的临床资料进行回顾性分析，所有患者伴有寰枢椎的脱位或半脱位，所有患者无明显脊髓损伤症状，枕颈部疼痛明显，术前常规采用颅骨牵引，平均3．5 d。结果20例患者术后平均随访16个月，所有患者颈部疼痛缓解明显，骨折固定可靠。结论寰枢椎椎弓根螺钉系统三维固定技术是治疗Ⅱ型齿突骨折并寰枢椎脱位患者一种有效的手术方法。
목적：탐토경후로환추추추궁근라정내고정치료Ⅱ형치돌골절합병환추추탈위적림상료효。방법대2010년10월～2012년9월수치적20례Ⅱ형（ Anderson분형）치돌골절합병환추추탈위적환자행후로환추추추궁근라정내고정술치료적림상자료진행회고성분석，소유환자반유환추추적탈위혹반탈위，소유환자무명현척수손상증상，침경부동통명현，술전상규채용로골견인，평균3．5 d。결과20례환자술후평균수방16개월，소유환자경부동통완해명현，골절고정가고。결론환추추추궁근라정계통삼유고정기술시치료Ⅱ형치돌골절병환추추탈위환자일충유효적수술방법。
Objective To evaluate the clinical effect of posterior atlantoaxial pedicle screw internal fixation for the treat -ment of type Ⅱodontoid process fracture combined with atlantoaxial dislocation .Methods From 2010 October to 2012 Sep-tember , the clinical data of 20 cases of typeⅡ( Anderson classification ) odontoid fracture combined with atlantoaxial disloca-tion were retrospectively analyzed , all patients underwent the posterior operation of atlantoaxial pedicle screw internal fixation . All the patients were associated with atlantoaxial dislocation or subluxation , and had no symptoms of spinal cord injury , but neck pain significantly .Preoperative conventional skull traction for an average time of 3.5 d.Results All patients received a mean follow-up of 16 months, all patients with neck pain was relieved ,reliable fixation.Conclusion Atlantoaxial pedicle screw system fixation technique is an effective operation method to treat the odontoid type Ⅱfractures with atlantoaxial disloca-tion.