CAJ | 학술논문

目的：研究寰枢侧块关节内固定手术时保留颈2神经根对复位程度及神经功能的影响。方法2013年8月至2014年9月，我科对收治的合并寰枕融合的寰枢椎脱位患者71例行寰枢侧块关节复位、钉棒内固定术，其中颈2神经根保留组39例，颈2神经根切断组32例，比较两组复位程度及临床症状改善情况，并问卷调查评估后枕部疼痛与麻木的严重程度及对生活质量的影响。结果颈2神经根保留组与切断组复位程度及后枕部皮肤疼痛／麻木差异均无统计学意义（ P ＞0．05）。结论寰枢侧块关节内固定手术时保留颈2神经根对手术复位程度无太大影响，导致的后枕部疼痛或麻木不影响患者术后日常生活。
목적：연구환추측괴관절내고정수술시보류경2신경근대복위정도급신경공능적영향。방법2013년8월지2014년9월，아과대수치적합병환침융합적환추추탈위환자71례행환추측괴관절복위、정봉내고정술，기중경2신경근보류조39례，경2신경근절단조32례，비교량조복위정도급림상증상개선정황，병문권조사평고후침부동통여마목적엄중정도급대생활질량적영향。결과경2신경근보류조여절단조복위정도급후침부피부동통／마목차이균무통계학의의（ P ＞0．05）。결론환추측괴관절내고정수술시보류경2신경근대수술복위정도무태대영향，도치적후침부동통혹마목불영향환자술후일상생활。
Obej ctive To determine the effect of retention of C 2 nerve root during atlantoaxial fixation on reposition degree and nerve function.Metho ds From August ,2013 to September,2014,71 patients underwent atlantoaxial fixation in our department .Of the 71 patients,C2 nerve root was preserved in39 cases and cut in 32 cases.A 3D-CT was used to assess the reposition degree and a ques-tionnaire was used to determine the severity of occipital numbness or pain and its effect on quality of life .Results There was no statis-tically significant difference in reposition degree and occipital neuralgia /numbness .Conclusion The preservation of C 2 nerve root does not affect the reposition degree .Sacrifice of the C2 nerve root is associated with increased occipital numbness while preservation of the C2 nerve root is associated with occipital neuralgia .However,both of methods have no effect on patients ’quality of life.