重庆医学2016，Vol.45Issue(10)：1350-1352,3.DOI:10.3969/j.issn.1671-8348.2016.10.017
后路椎弓根螺钉内固定治疗寰枢椎骨折脱位的临床体会
Posterior pedicle screw fixation for treatment of fracture and dislocation of atlantoaxial spine
赵则雪 1费昊东 1王守国 1季峰 1谢跃1
作者信息
- 1. 南京医科大学附属淮安第一医院骨科，江苏淮安223300
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of pedicle screw fixation in the treatment of fracture and dislocation of atlantoaxial spine via posterior approach .Methods 19 patients with fracture and dislocation of atlantoaxial spine in this hospital from June 2011 to December 2013 were selected and treated with open reduction and pedicle screw fixation via posterior approach . The X‐radiographs were postoperatively re‐examined at regular time for understanding the correction of fracture and dislocation and implant fusion results ,the neurological functions were evaluated according to the Japanese Orthopaedic Association(JOA) scores . Results All cases got bony fusion without the occurrence of internal fixation loosening ,broken screw or broken rod .The JOA score was improved from preoperative (7 .35 ± 2 .39) points to postoperative (13 .21 ± 2 .53) points (P<0 .05) .Conclusion The posteri‐or atlantoaxial pedicle screw fixation and fusion for treating upper cervical spine injury has satisfactory effect .关键词
寰椎/枢椎/骨折/脱位/内固定Key words
atlas/axis/fracture/dislocation/internal fixation分类
医药卫生引用本文复制引用
赵则雪,费昊东,王守国,季峰,谢跃..后路椎弓根螺钉内固定治疗寰枢椎骨折脱位的临床体会[J].重庆医学,2016,45(10):1350-1352,3.
