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寰枢椎椎弓根螺钉置钉技术的临床应用

吴长沙 李攀 李恩贤 李让贤 夏兴平 刘超 涂国能

临床骨科杂志Issue(3):280-283,4.
临床骨科杂志Issue(3):280-283,4.DOI:10.3969/j.issn.1008-0287.2015.03.009

寰枢椎椎弓根螺钉置钉技术的临床应用

Clinical application of atlantoaxial pedicle screw system fixation

吴长沙 1李攀 1李恩贤 1李让贤 1夏兴平 1刘超 1涂国能1

作者信息

  • 1. 镇雄县人民医院脊柱关节外科,云南 镇雄 657200
  • 折叠

摘要

Abstract

Objective To investigate the effect of atlantoaxial pedicle screw system fixation to treat upper cervical in-juries.Methods Patients with upper cervical injuries were treated with atlantoaxial pedicle screw system fixation, which included 5 cases of Jefferson fractures,11 odontoid fractures and 9 Hangman fractures.Results No patient had the injury of spinal cord,nerve root and vertebral artery.There was 1 case with vertebral vein injury,which had been controlled by compression.1 case with Jefferson fracture showed incomplete reduction.All patients were followed up from 1 year to 2 years.All fusion bone got union from CT scan and X-ray a year after surgeries.The clinical symp-toms were improved and the screws were verified to be in a proper position without breakage or loosening.Conclusions The atlantoaxial pedicle screw system fixation is an effective method,which provide stable fixation and high fusion rate for fracture to treat upper cervical injuries.

关键词

寰椎/枢椎/椎弓根螺钉

Key words

atlas/axis/pedicle screw

分类

医药卫生

引用本文复制引用

吴长沙,李攀,李恩贤,李让贤,夏兴平,刘超,涂国能..寰枢椎椎弓根螺钉置钉技术的临床应用[J].临床骨科杂志,2015,(3):280-283,4.

基金项目

云南省临床重点专科资助项目 ()

临床骨科杂志

OACSTPCD

1008-0287

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