摘要
目的探讨采用前路单枚螺纹钉固定治疗齿状突骨折的疗效。方法对11例Ⅱ型新鲜齿状突骨折颅骨牵引复位后，用单枚空心螺纹钉固定，术后颈围保护8～12周。结果本组11例均获随访，随访6～24个月，术后3个月复查颈椎动力位片，未显示有C1/2不稳，6个月时骨折均已愈合，螺纹钉无松动，无颈部旋转活动受限，1例术后有咽部异物感，术后1个月逐渐消失。结论这种手术方式促进骨折愈合的，同时最大限度地保留颈部旋转活动功能，获得即刻稳定，是治疗Ⅱ型新鲜齿状突骨折较为理想的一种手术方法。
Objective To investigate the curative effect of type Ⅱ fresh odontoid fracture via anterior odontoid cannulated screw. Methods 11 cases of type Ⅱ fresh odontoid fracture were reduced by skull traction and the odontoid fracture were fixed with anterior odontoid cannulated screw under general anesthesia. The collar was used for 8 to 12 weeks after operation. Results All 11 cases were followed up for 6 to 24 months. No instability of atlanto-axial vertebrae was observed with hyperflexion and hyper-extension X-ray 3 months after operation, All 11 fractures were healed 6 months postoperation with no screw loosing and no limitation cervical rotation. 1 case with pharyngeal paraesthesia gradually disappeared for one month after operation. Conclusion The anterior odontoid cannulated screw internal fixation is relative ideal treatment for type Ⅱ odontoid fracture while conserved normal cervical function and obtained immediately stability.
出处
《重庆医学》
CAS
CSCD
2008年第18期2077-2078,共2页
Chongqing medicine
关键词
齿状突骨折
空心螺纹钉
内固定
odontoid fracture
anterior odontoid cannulated screw
internal fixation
