【摘 要】
：
目的 探讨后路椎弓根钉系统复位固定并植骨融合治疗寰枢椎不稳的临床价值和相关问题.方法 18例寰枢椎不稳患者,男11例,女7例,年龄13～82岁,平均46.5岁.其中Ⅱ型齿状突骨折15例,横韧带断裂2例,寰椎前弓骨折1例,均伴有寰枢椎半脱位或明显不稳,术前JOA评分,脊髓神经功能评分6～13分,平均9.5分.采用后路椎弓根螺钉系统复位固定并植骨融合治疗.结果 手术时间75～180min,平均115m
【出 处】
：
2010广东省医学会骨科年会暨岭南骨科学术大会
论文部分内容阅读
目的 探讨后路椎弓根钉系统复位固定并植骨融合治疗寰枢椎不稳的临床价值和相关问题.方法 18例寰枢椎不稳患者,男11例,女7例,年龄13～82岁,平均46.5岁.其中Ⅱ型齿状突骨折15例,横韧带断裂2例,寰椎前弓骨折1例,均伴有寰枢椎半脱位或明显不稳,术前JOA评分,脊髓神经功能评分6～13分,平均9.5分.采用后路椎弓根螺钉系统复位固定并植骨融合治疗.结果 手术时间75～180min,平均115min；出血量130～450ml,平均235ml.1例在剥离寰椎后弓下缘时静脉丛破裂出血术中采用明胶海绵压迫止血.18例患者均获随访,随访时间6 ～ 38个月,平均13.5个月,术后JOA评分12～17分,平均14.5分.
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