摘要
目的回顾性分析齿状突骨折手术治疗的临床经验。方法2007年5月—2009年3月治疗齿状突骨折7例,其中AndersonⅡ型骨折6例,5例新鲜骨折,1例陈旧性骨折(伤后8个月)。齿状突矢状位纵行粉碎骨折1例;行颌枕带牵引复位满意后,5例行前路中空螺钉内固定术,1例后路寰枢椎融合术,1例仅行Halo-vest架外固定。结果所有患者均受到随访,随访期7～28个月。所有患者均获得满意复位,经CT三维重建或拍X线片证实新鲜齿状突骨折3～6个月愈合;后路手术者5个月时证实获得骨性融合;齿状突矢状位纵行粉碎骨折患者6个月时愈合。7例患者均无并发症发生。结论根据齿状突骨折的类型以及病程选择恰当的治疗方式,可获得良好的疗效。
Objective To discuss clinical treatment of odontoid process fracture.Methods Total 7patients with odontoid process fracture were analyzed retrospectively from May 2007 to March 2009.The6cases with odontoid fractures were classified according to Anderson,which included fresh fractures for 5 cases,old fractures for 1 case and Comminuted fractures for 1 case.After complete reduction,5 patients were treated with anterior screw fixation,1 patient with a posterior C1-C2 fusion.1 patiet with Halo-vest.Results All cases were followed up from 7 to 28 months,All cases obtain complete reduction.The X-ray and SCT scans verified all cases had solid bony union.5 patients with posterior fusion had healed without any problems.Bony fusion were found 3~6 months after operation.1 patient with a posterior C1-C2 fusion 5 months after operation.1 patient with Halo-vest 6 months after operation.7 cases were healed without complication.Conclusion The best election of management which is decided by type of fraction and course of disease obtain excellent treatment.
出处
《医药论坛杂志》
2010年第6期35-36,共2页
Journal of Medical Forum
关键词
齿状突
骨折
前路
后路
内固定
外固定
Odontoid process
Fracture
Anterior
Posterior
Internal fixation
External fixation
作者简介
通讯作者：博士研究生，E—mail：hnzzlws@hotmail．com
