中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
8期
34-36
,共3页
菅炎鹏%廖文胜%鲍恒%孙秀钦
菅炎鵬%廖文勝%鮑恆%孫秀欽
관염붕%료문성%포항%손수흠
枢椎椎板螺钉%寰椎%枢椎%内固定%寰枢椎不稳
樞椎椎闆螺釘%寰椎%樞椎%內固定%寰樞椎不穩
추추추판라정%환추%추추%내고정%환추추불은
C2 translaminar screws%Atlas%Axis%Internal fixation%Atlantoaxial instability
目的 探讨应用枢椎椎板螺钉内固定技术治疗寰枢椎不稳的临床疗效.方法 回顾性分析2007年7月至2011年10月应用枢椎椎板螺钉内固定技术治疗的26例患者的临床资料,AndersonⅡ型和Ⅲ型齿状突骨折21例,先天性游离齿状突并寰枢椎不稳3例,寰椎横韧带断裂2例.所有患者经影像学证实均有寰枢椎不稳或半脱位,临床表现为不同程度的颈枕区疼痛、活动受限等.内固定系统均采用颈后路Vertex钉棒系统.结果 26例患者共置入枢椎椎板螺钉49枚,术中无一例发生脊髓损伤、椎动脉损伤等并发症.患者获得6～26个月的随访,平均17个月.术后患者临床症状均得到不同程度的改善,数字化DR、CT复查螺钉位置良好,无松动、断钉,未见明显复位丢失,所有患者均于术后3～4个月获得骨性融合.结论 应用枢椎椎板螺钉内固定技术治疗寰枢椎不稳效果满意,操作简单、安全,可以作为传统枢椎内固定的一种补充方法.
目的 探討應用樞椎椎闆螺釘內固定技術治療寰樞椎不穩的臨床療效.方法 迴顧性分析2007年7月至2011年10月應用樞椎椎闆螺釘內固定技術治療的26例患者的臨床資料,AndersonⅡ型和Ⅲ型齒狀突骨摺21例,先天性遊離齒狀突併寰樞椎不穩3例,寰椎橫韌帶斷裂2例.所有患者經影像學證實均有寰樞椎不穩或半脫位,臨床錶現為不同程度的頸枕區疼痛、活動受限等.內固定繫統均採用頸後路Vertex釘棒繫統.結果 26例患者共置入樞椎椎闆螺釘49枚,術中無一例髮生脊髓損傷、椎動脈損傷等併髮癥.患者穫得6～26箇月的隨訪,平均17箇月.術後患者臨床癥狀均得到不同程度的改善,數字化DR、CT複查螺釘位置良好,無鬆動、斷釘,未見明顯複位丟失,所有患者均于術後3～4箇月穫得骨性融閤.結論 應用樞椎椎闆螺釘內固定技術治療寰樞椎不穩效果滿意,操作簡單、安全,可以作為傳統樞椎內固定的一種補充方法.
목적 탐토응용추추추판라정내고정기술치료환추추불은적림상료효.방법 회고성분석2007년7월지2011년10월응용추추추판라정내고정기술치료적26례환자적림상자료,AndersonⅡ형화Ⅲ형치상돌골절21례,선천성유리치상돌병환추추불은3례,환추횡인대단렬2례.소유환자경영상학증실균유환추추불은혹반탈위,림상표현위불동정도적경침구동통、활동수한등.내고정계통균채용경후로Vertex정봉계통.결과 26례환자공치입추추추판라정49매,술중무일례발생척수손상、추동맥손상등병발증.환자획득6～26개월적수방,평균17개월.술후환자림상증상균득도불동정도적개선,수자화DR、CT복사라정위치량호,무송동、단정,미견명현복위주실,소유환자균우술후3～4개월획득골성융합.결론 응용추추추판라정내고정기술치료환추추불은효과만의,조작간단、안전,가이작위전통추추내고정적일충보충방법.
Objective To investigate the clinical effect of internal fixation technique with C2 translaminar screws on atlantoaxial instability.Methods From July 2007 to October 2011,the clinical data of 26 patients with atlantoaxial instability underwent internal fixation technique with C2 translaminar screws were retrospectively analyzed.There were 21 cases of Anderson type Ⅱ and Ⅲ odontoid fractures,3 cases of congenital loose odontoid combined with atlantoaxial instability,and 2 cases of axis transverse ligament rupture.All patients had the symptoms of atlantoaxial instability or subluxation,such as craniocervical junction pain,activity limitation.Posterior vertex screw rod system was used for internal fixation.Results A total of 49 C2 translaminar screws were placed in the 26 patients.There were no complications,such as spinal cord injury or vertebral artery injury during operation.All patients were followed-up for 6-26 months,average 17 months.The clinical symptoms were improved in different degrees after operation,and all screws had good position reviewed by digital DR and CT scans.No cases of screw loosening or nail broken were observed,no obvious reset loss,all patients had bone healing at 3 to 4 months after operation.Conclusions The effect of internal fixation technique with C2 translaminar screws on atlantoaxial instability is good,and the surgical procedure is simple and safe,so it can be a supplementary method for traditional C2 internal fixation.
