CAJ | 학술논문

目的分析了I型和I I型齿状突骨折用Halo背心固定器与前路螺钉固定或后路C1-C2螺钉固定和跨关节螺钉固定治疗齿状突骨折术前和术后临床结果和影像结果的对比.方法64例I型和I I型齿状突骨折，治疗包括Halo背心固定器和前路螺钉固定或后路C1-C2螺钉固定和跨关节螺钉固定.用Halo背心固定器固定31例，前路螺钉固定23例，后路C1-C2螺钉固定7例和跨关节螺钉固定3例.结果31例保守治疗组中愈合率64.5%；齿状突骨折愈合平均时间23.8周(12.3-35.8周).33例手术组中愈合率93.9%，平均15.8±4.6周.结论对于I型和I I型齿状突骨折手术治疗比保守治疗具有更高的愈合率和更短的愈合时间.
목적분석료I형화I I형치상돌골절용Halo배심고정기여전로라정고정혹후로C1-C2라정고정화과관절라정고정치료치상돌골절술전화술후림상결과화영상결과적대비.방법64례I형화I I형치상돌골절，치료포괄Halo배심고정기화전로라정고정혹후로C1-C2라정고정화과관절라정고정.용Halo배심고정기고정31례，전로라정고정23례，후로C1-C2라정고정7례화과관절라정고정3례.결과31례보수치료조중유합솔64.5%；치상돌골절유합평균시간23.8주(12.3-35.8주).33례수술조중유합솔93.9%，평균15.8±4.6주.결론대우I형화I I형치상돌골절수술치료비보수치료구유경고적유합솔화경단적유합시간.
Objective To investigate the different clinical and radiological therapeutic effect between conservative treatment (Halo-vest fixator) and surgical treatment on the treatment of type II and type III odontoid fractures. Methods 64 patients presented with type II and type III odontoid fractures were treated, conservative treatment (Halo-vest fixator) in 31, surgical treatment (anterior screw fixation in 23, posterior screw fixation of C1 and C2 in 7, intralaminar fixation of C1 and C2 in 3) in 33.Results Fusion rate in conservative treatment was 64.5%, the mean time of odontoid fractures to union was 23.8 weeks (12.3-35.8 weeks). Fusion rate in surgical treatment was 93.9%, the mean time of odontoid fractures to union was 15.8±4.6 weeks. Conclusions Surgical treatment with higher fusion rate and shorter time to union is superior to conservative treatment on the treatments of type II and type III odontoid fractures.