CAJ | 학술논문

目的：探讨前路融合钛板内固定术治疗 Hangman 骨折的疗效和应用价值。方法2003年3月至2011年3月，对15例 Hangman 骨折患者行颈椎前路融合钛板内固定术。术后进行10～18个月随访，平均随访12个月。结果术后症状明显恢复。全部病例颈椎生理前凸维持良好，C2椎弓骨的线模糊。术后6个月植骨融合率达到100％。无内固定系统松动及断裂现象存在。结论应用颈前路植骨融合内固定术治疗不稳定性 Hangman 骨折，具有术后上颈椎即时稳定，防止植骨块移位，无须石膏固定，维持生理前凸，促进骨折愈合和植骨融合率高等优点。
목적：탐토전로융합태판내고정술치료 Hangman 골절적료효화응용개치。방법2003년3월지2011년3월，대15례 Hangman 골절환자행경추전로융합태판내고정술。술후진행10～18개월수방，평균수방12개월。결과술후증상명현회복。전부병례경추생리전철유지량호，C2추궁골적선모호。술후6개월식골융합솔체도100％。무내고정계통송동급단렬현상존재。결론응용경전로식골융합내고정술치료불은정성 Hangman 골절，구유술후상경추즉시은정，방지식골괴이위，무수석고고정，유지생리전철，촉진골절유합화식골융합솔고등우점。
ABSTRACT:Objective To investigate the efficacy and value of anterior cervical fusion with tita-nium plate fixation for the treatment of hangman’s fracture.Methods Fifteen patients with hangman’s fracture underwent anterior cervical fusion with titanium plate fixation from March 2003 to March 2011.Patients were followed up for an average of 12 months (range,10 to 18 months).Results Clinical symptoms were relieved and cervical lordosis was maintained with blurry C2 vertebral arch fracture line in all patients after operation.Bone graft fusion rate reached 100% 6 months after operation.No loosening and fracture of fixation system were found in all patients.Conclusion Anterior cervical fusion with titanium plate fixation can result in immediate stability,prevent graft dislodgement,avoid plaster immobilization,maintain cervical lordosis,pro-mot fracture healing and increase bone graft fusion rate in the treatment of hangman’s fracture.