中国组织工程研究Issue(43)：7546-7551,6.DOI:10.3969/j.issn.2095-4344.2013.43.008
颈前路Cage融合锁定钛板置入内固定治疗伸直型颈椎骨折
Anterior cervical Cage-assisted fusion combined with locking titanium plate internal fixation for the treatment of extension-type cervical fracture
吴剑 1刘艳西 1秦星星 1郑勇 1石振 1鲍同柱2
作者信息
- 1. 咸宁市中心医院，湖北省咸宁市 437100
- 2. 宜昌市中心医院，湖北省宜昌市 443002
- 折叠
摘要
Abstract
BACKGROUND:There is no literature about the treatment according to the mechanism of cervical spine injury classification, especial y for the treatment of extension type cervical fracture/dislocation with merger cases of posterior composite structure damage, whether simple anterior approach can meet the needs of the treatment has no detailed elaboration. This article may analyze from the aspect of cervical spine injury mechanism. OBJECTIVE:To observe the short-term effect of anterior cervical Cage-assisted fusion combined with locking titanium plate internal fixation for the treatment of extension type cervical fracture. METHODS:A retrospective analysis was performed in 15 extension type cervical spine fracture dislocation patients treated with decompression anterior cervical intervertebral disc resection plus bone graft with cage-fusion locking titanium plate internal fixation from June 2006 to March 2011 in the Department of Orthopedics, Xianning Central Hospital, including 10 cases of single segment injury and treatment, and five cases of multiple segment injury and treatment. Japanese Orthopaedic Association score and the neck disability index were compared before and after treatment;the cervical flexion and height were measured according to the antersposterior X-ray film taken before fixation, 1 week after fixation and final fol ow-up.RESULTS AND CONCLUSION:The patients were fol owed-up for 8-37 months. One case had Cage mild sinking and shift, and there was no internal fixation breakage or loosening in al the patients. Transient pharyngeal discomfort was observed in 11 patients. Compared with the preoperation, the Japanese Orthopaedic Association score, neck dysfunction index, fusion segment cervical flexion and fusion segment intervertebral disc height were significantly improved at 1 week after fixation and final fol ow-up (P<0.05). There were no significant differences between 1 week after fixation and final fol ow-up (P>0.05). The short-term effect of decompression anterior cervical intervertebral disc resection plus bone graft with cage-fusion locking titanium plate internal fixation for the treatment of extension-type cervical fracture is good.关键词
骨关节植入物/脊柱植入物/伸直型颈椎骨折/Cage融合/锁定钛板/颈椎骨折脱位/JOA评分/颈部功能障碍指数/椎间隙高度/颈椎屈曲度Key words
cervical vertebrae/fractures/internal fixators/follow-up studies分类
医药卫生引用本文复制引用
吴剑,刘艳西,秦星星,郑勇,石振,鲍同柱..颈前路Cage融合锁定钛板置入内固定治疗伸直型颈椎骨折[J].中国组织工程研究,2013,(43):7546-7551,6.
