| 上颈椎手术的内固定应用 |
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| 引用本文： | 张彦男,牛建鹏.上颈椎手术的内固定应用[J].晋城职业技术学院学报,2009,2(2):56-58. |
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| 作者姓名： | 张彦男 牛建鹏 |
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| 作者单位： | 1. 华中科技大学同济医学院附属协和医院骨科,武汉,430030
2. 太原市中心医院骨科,太原,030001 |
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| 摘 要： | 回顾102例上颈椎不稳的治疗，进一步分析各种上颈椎内固定技术的要点和适应用。方法：102例患者中，寰椎骨折2例行颈枕固定融合。齿状突骨折齿状突螺钉固定11例，行寰枢椎椎弓根螺钉2例。Hangman骨折行枢椎椎弓根螺钉固定18例，前路铜板固定11例，寰枢椎钢丝固定1例。寰枢椎脱位不稳行寰枢椎钢丝固定10例，寰枢椎椎弓根螺钉22例，颈枕固定融合18例。C2～3脱位行C2～3，椎弓根螺钉2倒．前路铜板固定3例。C2椎体肿瘤例前后联合固定先天性颈椎后突1例行前路钛网加钛板固定所有患者术后颈围领保护3月结果：102例患者经治疗上颈椎获得满意的稳定性，优良率达94.9%。结论：在上颈椎手术时，内固定技术的选择要根据具体条件和技术水平来决定，同时要严格掌握手术适应症。
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| 关 键 词： | 上颈椎 手术 内固定 |
The Application of Internal Fixation for the Operation on Upper Cervical |
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| Institution: | ZHANG Yan-nan,NIU Jian-peng (1. Huazhong University of Science and Technology, Wuhan 040030,China; 2. Department of Orthopaedics,The Center Hospital of Taiyuan,,Taiyuan 030001,China) |
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| Abstract: | We reviewed the operations for 102 cases of upper cervical instability,analyzed the key and indication of various kinds internal fixation technical of upper cervical. Methods：In 102 cases,atlas fracture：2 cases by cerv-pillow fixation. Odontoid fracture：ll cases by odontoid screw fixation,2 cases by atlantoaxial pedicle screw fixation. Hangman＇ fracture： 18 cases by axis pedicle pedicle screw fixation, l lcases by plate fixation, 1 cases by atlantoaxial wire lock. Atlantoaxial instability： 10 cases bv atlantoaxial wire lock,22 cases by atlantoaxial pedicle screw fixation, 18 cases by cerv-pillow fixation. C2-3 dislocation：2 cases by pedicle screw fixation,3 case by plate fixation.1 case with C2 tumor by AP affiliation fixation.1 case with congenital cervical processus aboralis by anterior plate fixation.All cases were protected by neck collar for 3 months after operation. Results 102 cases got satisfactory stability after curatio. Conclusion The election of internal fixation technical is decided by technical level,also it is important to handle the operation indication. |
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| Keywords: | Upper cervical Operation Internal fixation |
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