中国组织工程研究2012，Vol.16Issue(13)：2411-2414,4.DOI:10.3969/j.issn.1673-8225.2012.13.030
颈椎后路侧块钢板螺钉置入治疗多节段颈椎病伴颈椎失稳
Application of posterior cervical lateral mass plates and screws for the treatment of multilevel cervical myelopathy
王景续 1尹西盟 1宫树一 1邬波1
作者信息
- 1. 沈阳市骨科医院脊柱外科,辽宁省沈阳市,110000
- 折叠
摘要
Abstract
BACKGROUND: Internal fixation of the lateral masses with plate and screw has been widely used to treat cervical instability,cervical spondylolisthesis, cervical reconstruction and other injuries caused by various reasons.OBJECTIVE: To discuss the therapeutic effect of posterior cervical mass fixation assisted with joint distraction in multilevel cervical myelopathy patients.METHODS: An online search of China Academic Journals Full-text Database was performed for the related articles with the key words of “cervical vertebrae”, “lateral mass”, “internal fixation” and “bone graft”. A total of 22 articles were retained after excluding meta-analysis and repetitive studies. These articles were analyzed from three following aspects mainly: the clinical anatomy of cervical lateral mass, the fixation technique of lateral mass screw and the efficacy of lateral mass screw fixation.RESULTS AND CONCLUSION: Lateral cervical mass screw fixation belongs to posterior cervical oligo-segmental fixation. It retains the maximum active degree of cervical vertebrate, adequately decompresses the cervical spinal cord, restores the intervertebral height, maintains the cervical physiological curvature and stabilizes the unstable cervical segments. In addition, it prevents the kyphosis deformity, nerve root palsy and the aggravation of cervical spinal instability. Therefore, lateral cervical mass screw fixation is an effective way to treat multilevel cervical myelopathy accompanied with cervical spinal instability.关键词
多节段颈椎病/颈椎失稳/小关节撑开植骨/侧块螺钉/内固定分类
医药卫生引用本文复制引用
王景续,尹西盟,宫树一,邬波..颈椎后路侧块钢板螺钉置入治疗多节段颈椎病伴颈椎失稳[J].中国组织工程研究,2012,16(13):2411-2414,4.
