CAJ | 학술논문

目的：探讨后路经椎弓根钉棒系统内固定治疗上颈椎损伤的临床疗效。方法16例上颈椎损伤患者接受后路椎弓根钉棒系统内固定手术治疗。记录患者并发症及术后神经功能恢复情况。结果术中1例患者C2后方静脉丛损伤，使用显微镜止血；其余手术过程均顺利。术后无神经症状加重、脑脊液漏，切口无血肿及感染等并发症。7例出现神经症状的患者术后平均改善率为81.8%。出院后随访3~18个月，未发现并发症发生，上颈椎活动度基本未受影响。结论后路经椎弓根钉棒系统内固定技术为上颈椎损伤患者提供了稳定的结构基础。
목적：탐토후로경추궁근정봉계통내고정치료상경추손상적림상료효。방법16례상경추손상환자접수후로추궁근정봉계통내고정수술치료。기록환자병발증급술후신경공능회복정황。결과술중1례환자C2후방정맥총손상，사용현미경지혈；기여수술과정균순리。술후무신경증상가중、뇌척액루，절구무혈종급감염등병발증。7례출현신경증상적환자술후평균개선솔위81.8%。출원후수방3~18개월，미발현병발증발생，상경추활동도기본미수영향。결론후로경추궁근정봉계통내고정기술위상경추손상환자제공료은정적결구기출。
Objective To observe the feasibility of posterior internal fixation with pedicle screw rod system for upper cervical vertebra injury. Methods 16 patients with upper cervical vertebra injury accepted posterior pedicle screw system internal fixation were reviewed. Re-sults Venous plexus behind C2 damaged in operation in a case, who needed a microscope for hemostasis. No complication, such as neurologi-cal symptoms worse, cerebrospinal fluid leakage, hematoma and infection of incision happened post operation. The neurological symptoms improved 81.8%in all the 7 cases who complained before operation. No complication was found in the follow-up 3 to 18 months after dis-charge. Their activities of upper cervical was basically unaffected. Conclusion Posterior internal fixation with pedicle screw rod system can provide stable support for patients with upper cervical injury.