中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (39): 7299-7302.doi: 10.3969/j.issn.1673-8225.2011.39.020

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

锁定板前路置入治疗颈胸段脊柱骨折脱位

邓  强1,王锡阳2,王  昕3,葛  磊2,段春岳2,周炳炎2   

  1. 1新疆医科大学第一附属医院脊柱外科,新疆维吾尔自治区乌鲁木齐市  830054
    2中南大学湘雅医院脊柱外科,湖南省长沙市  410008
    3新疆医科大学基础医学院病原学教研室,新疆维吾尔自治区乌鲁木齐市  830054
  • 收稿日期:2011-06-18 修回日期:2011-08-22 出版日期:2011-09-24
  • 作者简介:邓强★,男,1974年生,湖南省益阳市人,汉族,2001年新疆医科大学毕业,硕士,主治医师,主要从事脊柱的研究。 dengqiang9788@yahoo.com
  • 基金资助:

    新疆维吾尔自治区自然科学基金项目资助(2011211A043)。

Locking plate fixation for cervicothoracic fracture and dislocation through anterior approach

Deng qiang1, Wang Xi-yang2, Wang Xin3, Ge Lei2, Duan Chun-yue2, Zhou Bing-yan2   

  1. 1Department of Spinal Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi  830054, Xinjiang Uygur Autonomous Region, China
    2Department of Spinal Surgery, Xiangya Hospital of Central South University, Changsha  410008, Hunan Province, China
    3Department of Etiology, School of Basic Medicine, Xinjiang Medical University, Urumqi  830054, Xinjiang Uygur Autonomous Region, China
  • Received:2011-06-18 Revised:2011-08-22 Online:2011-09-24
  • About author:Deng Qiang★, Master, Attending physician, Department of Spinal Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China dengqiang9788@yahoo.com
  • Supported by:

    the Natural Science Foundation of Xinjiang Uygur Autonomous Region, No. 2011211A043*

摘要:

背景:前路治疗颈胸段脊柱骨折脱位有关中长期临床效果及钢板置入后脊髓神经功能的报道很少。
目的:观察锁定板前路置入治疗颈胸段脊柱骨折脱位的可行性及疗效。
方法:回顾性分析2007-01/2011-01湘雅医院一附院脊柱外科收治的颈胸段脊柱骨折脱位患者12例,均采用前路减压、植骨、锁定板置入内固定治疗。
结果与结论:全部患者获随访一两年,均获得骨性融合,融合时间为4~8个月,无螺钉松动、脱落及锁定板断裂等并发症发生。锁定钢板置入前Frankel A级2例,置入后2例脊髓损伤无恢复;置入前B级4例,置入后恢复至C级2例,D级2例;置入前C级3例,置入后恢复至D级1例,E级2例;置入前D级3例,恢复至E级。1例置入后出现暂时性声音嘶哑,置入后3~6个月恢复。提示颈胸段前路减压、植骨、锁定钢板置入内固定对颈胸段脊柱脊髓损伤具有较好的疗效,锁定钢板有助于植骨节段融合、重建和稳定颈胸段脊柱。

关键词: 颈胸段, 脊髓损伤, 前入路, 置入, 锁定板

Abstract:

BACKGROUND: Few studies about the long-term clinical results of cervicothoracic fracture and dislocation treated via the anterior approach and the spinal cord function after locking plate fixation.
OBJECTIVE: To find the feasibility and efficacy of locking plate fixation for cervicothoracic fracture and dislocation through the anterior approach. 
METHODS: Twelve patients with cervicothoracic fracture and spine cord injury were retrospectively analyzed from January 2007 to January 2011. All cases were treated with anterior decompression and reduction, bone graft, and locking plate fixation.
RESULTS AND CONCLUSION: All patients were followed up for 1 to 2 years, the mean follow-up time was 18 months. And all patients got complete bone fusion within 4 to 8 months postoperatively. There were no pull-out and breakage of screws or locking plate. Spinal cord functional recovery improved according Frankel standard. According to Frankel grades,there were 2 cases at grade A, 4 cases at grade B, 3 cases at grade C, 3 cases at grade D before implantation; 2 cases at grade A, 2 at grade C, 3 at grade D, 5 at grade E after implantation. One patients appeared with transient hoarse voice after surgery, and the symptoms were alleviated from 3 to 6 months after operation. Anterior decompression and reduction, bone graft, locking plate fixation have better effect for treatment of spine and spinal cord trauma in the cervicothoracic junction; the locking plate is helpful for the bone graft healing, reconstruction and stability in the cervicothoracic spine.

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