| 摘要: |
| ［摘要］ 目的 探讨齿状突骨折伴寰枢椎脱位后路侧块钉板内固定术的适应证与疗效。方法 对齿状突骨折12例（Ⅱ型骨折8例，Ⅲ型骨折4例，均伴有寰枢椎脱位）者，术前予颅骨牵引5～7 d，在全麻下行后路侧块钉板内固定术。结果 12例平均随访16.5个月，齿状突骨折全部骨性愈合，寰枢椎脱位满意复位10例，改善2例，复位满意率为83.33%。结论 后路侧块钉板内固定能使齿状突骨折获得良好的稳定性，与其它术式相比，有着更广的适应证。 |
| 关键词: 齿状突骨折 寰枢椎脱位 后路 内固定 |
| DOI：10.3969/j.issn.1674-3806.2009.11.19 |
| 分类号:R 683.2 |
| 基金项目: |
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| Treatment of odontoid process fracture combining atlauto-axial dislocation with posterior internal fixation through lateral pedicle by screw and plate |
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LIANG Bin, LI Hong-yu, WEI Min-ke, et al.
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Department of Orthopaedics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effect and indication of posterior internal fixation through lateral pedicle by screw and plate in the treatment of odontoid process fracture combining atlauto-axial dislocation.Methods Twelve cases of odontoid process fracture were analyzed, there were 8 cases with type Ⅱ and 4 cases with type Ⅲ, all cases combined atlauto-axial dislocation, all cases must be reduced through preoperative drawing of skull for 5～7 days, all cases were treated with posterior internal fixation through lateral pedicle by screw and plate in general anaesthesia.Results Twelve cases were followed up for an average of 16.5 months.The dynamic radiography showed all cases had bony union, 10 cases of them had stable reduction and the rest 2 cases of atlauto-axial dislocation had been improved.The good rates of reduction is 83.33%.Conclusion The technique could be acquired good stability in the treatment of odontoid process fracture, there were wide indications in contrast with the others ways of surgery. |
| Key words: Odontoid process fractures Atlauto-axial dislocation Posterior Internal fixation |
