临床骨科杂志2018，Vol.21Issue(1)：4-7,4.DOI:10.3969/j.issn.1008-0287.2018.01.002
后路C2～3钉棒内固定术治疗不稳定型Hangman骨折
Clinical effect of posterior C2~3screw-rod fixation for treatment of unstable Hangman′s frac-ture
唐可 1胡一平1
作者信息
- 1. 解放军第101医院骨科,江苏 无锡 214044
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of posterior C2~3screw-rod fixation for unstable Hangman′s fracture. Methods Fifteen patients with unstable Hangman′s fracture underwent posterior C2~3screw-rod fixation. X-ray and CT examination were used to evaluate the integrity and stability of the fixed fusion segments. Clinical effects were evaluated by using neck disability index (NDI) and visual analogue scale (VAS) during preoperative and postoperative follow-up period. Results The operative time was 80~131 min and follow-up period was 6~32 months. None of the patients had neurological deterioration after surgery, and no internal fixation failure, infection, or other intraoperative or postoperative complications were observed. NDI was gradually reduced during follow-up, NDI was 83.9% ± 2.5% at the postoperative 1 day, and was 22.4% ± 2.7% at final follow-up,there were signifi-cant differences between the 1st,3rd,6th month and the last follow-up and the postoperative 1 day(P<0.05). VAS was gradually reduced during follow-up,The VAS for neck pain was 8.3 ± 1.2 at the postoperative 1 day,and while the final follow-up VAS was 2.1 ± 0.8,there were significant differences between the 1st,3rd,6th month and the last follow-up and the postoperative 1 day(P<0.05). Conclusions Posterior C2~3screw-rod fixation is effective in the treatment of the patients with unstable Hangman′s fracture.关键词
不稳定型Hangman骨折/颈椎钉棒固定术Key words
unstable Hangman′s fracture/cervical screw-rod fixation分类
医药卫生引用本文复制引用
唐可,胡一平..后路C2～3钉棒内固定术治疗不稳定型Hangman骨折[J].临床骨科杂志,2018,21(1):4-7,4.
