中国组织工程研究Issue(35)：6351-6356,6.DOI:10.3969/j.issn.2095-4344.2013.35.021
植入物与Halo-vest内外固定联合治疗下颈椎骨折脱位**☆
Combined therapy of implants internal fixation and Halo-vest external fixation for the treatment of subaxial cervical fracture-dislocation
摘要
Abstract
BACKGROUND:There is controversial in choosing the treatment method for the treatment of traumatic subaxial cervical fracture-dislocation and spinal cord injury. <br> OBJECTIVE:To evaluate the clinical effect of implant internal fixation and Halo-vest external fixation on the stability after treatment of subaxial cervical fracture-dislocation. <br> METHODS:A retrospective analysis was conducted on 17 patients with subaxial cervical fracture-dislocation in the Department of Orthopedics, the Second Affiliated Hospital of Shantou University Medical Col ege between January 2009 to December 2011, including 13 male patients and 4 female patients, the age was ranged from 21-65 years, average 41.6 years. There were six cases of high fal ing injury, three cases of crush injury and eight cases of traffic accident injury. The hospitalization time after injury was 2 hours to 5 days, average 2.5 days. Al the patients received Halo-vest external fixation under local anesthesia, then distraction gradual y, and received anterior decompression graft and titanium screw fixation under reduction. The treatment effect was evaluated <br> through Frankel classification and imaging examination. <br> RESULTS AND CONCLUSION:Al the patients were fol owed-up for 12-24 months, average 15.4 months. Normal anteraposterior X-ray film showed fracture reduction, the cervical vertebra restored to the normal <br> sequence and physiological curvature;CT showed graft fusion without internal fixation fracture and loosing; <br> according to Frankel classification, marked effect (decreased for 2 grade) in five cases, effective (decreased for 1 <br> grade) in 10 cases, and ineffective in two cases. Implant internal fixation combined with Halo-vest external fixation is safe and reliable in the instability fixation of subaxial cervical fracture-dislocation, and can better restore the spinal sagittal alignment.关键词
骨与关节植入物/骨与关节学术探讨/颈椎骨折/骨折脱位/前后路/椎弓根螺钉/内固定/Halo-vest外固定/Halo-vest支架/脊柱植入物/骨性融合/生物力学/并发症/其他基金分类
医药卫生引用本文复制引用
姚关锋,王新家,罗滨,王伟东,曾机灿..植入物与Halo-vest内外固定联合治疗下颈椎骨折脱位**☆[J].中国组织工程研究,2013,(35):6351-6356,6.基金项目
New Teacher Special Scentific Research Fund for Doctoral Program of Universities, No.20124402120004* （）
Shantou Science and Technology Planning Project, No.E201100393* （）
