临床骨科杂志2012，Vol.15Issue(4)：367-369,3.
创伤性颈椎不稳后路钉棒固定重建稳定
Stability reconstruction of traumatic cervical vertebra by screw-rod fixation through posterior approach
摘要
Abstract
Objective To explore the therapeutic effect on treatment of traumatic instability of cervical vertebra by pedicel screw through posterior approach or screw-rod fixation in lateral mass. Methods 30 patients of traumatic cervical vertebra instability were treated with grafting in cervical spinal lamina or between small joints by posterior transpedicular screw through posterior approach or screw-rod fixation in lateral mass. Results All cervical symptoms disappeared after operation and the damaged neurological function of cervical spinal cord were significantly improved. No complication was found in the follow up visits for 3 ～ 52 ( 10 ± 3. 2 ) months. The recovered cervical vertebra of all patients was of well fused and stable without looseness, fracture of interior fixation or displacement of grafting bone; the fracture was well healing and grafting bone was gradually fused with flexion range of extensible i05°±i0.5°, lateral 80° ±7. 2°, and axial rotation 96° ±9. 3°. Conclusions The treatment of the traumatic cervical vertebra by posterior transpedicular screw through posterior approach or screw-rod fixation in lateral mass reveals good reconstructed stability.关键词
创伤性不稳/颈后路/颈椎/内固定钉-棒Key words
traumatic instability/cervical posterior/cervical vertebra/ screw-rod interior fixation分类
医药卫生引用本文复制引用
周章彦,朱轶,谢彬,林义文..创伤性颈椎不稳后路钉棒固定重建稳定[J].临床骨科杂志,2012,15(4):367-369,3.基金项目
福建省三明市科研发展专项基金(编号:2008-S-11) （编号:2008-S-11）
