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锁定板前路置入治疗颈胸段脊柱骨折脱位

邓强 王锡阳 王昕 葛磊 段春岳 周炳炎

中国组织工程研究与临床康复2011,Vol.15Issue(39):7299-7302,4.
中国组织工程研究与临床康复2011,Vol.15Issue(39):7299-7302,4.DOI:10.3969/j.issn.1673-8225.2011.39.020

锁定板前路置入治疗颈胸段脊柱骨折脱位

Locking plate fixation for cervicothoracic fracture and dislocation through anterior approach

邓强 1王锡阳 2王昕 3葛磊 2段春岳 2周炳炎2

作者信息

  • 1. 新疆医科大学第一附属医院脊柱外科,新疆维吾尔自治区乌鲁木齐市,830054
  • 2. 中南大学湘雅医院脊柱外科,湖南省长沙市,410008
  • 3. 新疆医科大学基础医学院病原学教研室,新疆维吾尔自治区乌鲁木齐市,830054
  • 折叠

摘要

Abstract

BACKGROUND: Few studies about the long-term clinical results of cervicothoracic fracture and dislocation treated via the anterior approach and the spinal cord function after locking plate fixation.OBJECTIVE: To find the feasibility and efficacy of locking plate fixationfor cervicothoracic fracture and dislocation through the anterior approach.METHODS: Twelve patiente with cervicothoracic fracture and spine cord injury were retrospectively a nalyzed from January 2007 to January 2011. All cases weretreated with anterior decompression and reduction, bone graft, and locking plate fixation. RESULT S AND CONCLUSION: All patients were followed up for 1 to 2 years, the mean followup timewas 18 months.And all patients got complete bone fusion wrthin 4to 8 months postoper atively. There were no pull-out and breakage of screws or locking plate. Spinal cord functional recovery improved according Frankel standard. According to Frankel grades, there were 2 cases at grade A 4 cases at grade B. 3 cases at grade C. 3 cases at grade D before implantation; 2 cases at grade A. 2 at grade C. 3 at grade D, 5 at grade E after implantation. One patients appeared with transient hoarse voice after surgery, and the symptoms were all eviated from 3 to 6 months after operation. Anterior decompression and reduction, bone graft, locking plate fixation have better effectfor treatment of spine and spinal cord trauma in the cervicothoracic junction; the locking plate is helcful for the bone graft healing, reconstruction and stability in the cervicothoracic spine.

关键词

颈胸段/脊髓损伤/前入路/置入/锁定板

分类

医药卫生

引用本文复制引用

邓强,王锡阳,王昕,葛磊,段春岳,周炳炎..锁定板前路置入治疗颈胸段脊柱骨折脱位[J].中国组织工程研究与临床康复,2011,15(39):7299-7302,4.

基金项目

新疆维吾尔自治区自然科学基金项目资助(2011211A043). (2011211A043)

中国组织工程研究与临床康复

OACSCDCSTPCD

2095-4344

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