摘要
Abstract
Objective To explore the clinical curative effect of surgery treatment of severe cervical spine fracture dis-location and application value. Methods Thirty-two cases of severe cervical spine fracture dislocation were treated by anterior cervical plate and posterior screw rod occipital cervical fusion joint reduction technology via anterior and posterior approach. Posterior joint are performed under the skull traction by nasal tracheal intubation under general anesthesia, prone position, firstly used in patients with posterior lateral mass screws implanted, decompression, re-duction, restored cervical sequence, demolition of skull traction changed after bone graft fusion supine anterior de-compression, bone graft and locking titanium plate fixation. Postoperative X-ray film was used to obeserve damage stability and the convergence rate of the section, Frankel classification was used to determine functional recovery of spinal cord injury. Results Except for grade A 6 cases and grade D 3 cases, patients were grade 1 ~2 improve-ment. Nine patients had recovered to grade E. Three patients of 32 patients died in one month postopertation, the or-ther 29 cases were followed up for 6~32 months. Dislocation were completely reset, no bone graft fusion occurred. Damage segmental stability, cervical intervertebral height and physiological curvature were good maintenance and re-construction, no internal fixation of fracture, loose and out was present, no complications such as blood vessels, nerves, injury of the esophagus were found. Conclusions The combined anterior cervical fixation for the treatment of upper cervical fracture and dislocation has advantages of full restoration of cervical series, good reduction, canal pressure before and after the parties have to completely remove, damage to obtain immediate stability after segments to facilitate post-operative care and functional training, favorable functional recovery of spinal cord, which is a positive and effective way.关键词
颈椎骨折脱位/前后路/脊髓损伤/内固定Key words
cervical spine fracture and dislocation/anterior and posterior approach/spinal cord injury/internal fixa-tion分类
医药卫生
