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枕颈融合术治疗陈旧性寰枢不稳
Hits: 2024   Download times: 1283   Received:November 10, 2002    
作者Author单位UnitE-Mail
胡玉华 HU Yuhua 武警江苏省总队医院骨科,江苏扬州225003 Department of Orthopaedics,the Hospital of Chinese Armed Police Forces Jiangshu Yangzhou 225003  
王长峰 WANG Changfeng 武警江苏省总队医院骨科,江苏扬州225003 Department of Orthopaedics,the Hospital of Chinese Armed Police Forces Jiangshu Yangzhou 225003  
胡传亮 HU Chuanliang 武警江苏省总队医院骨科,江苏扬州225003 Department of Orthopaedics,the Hospital of Chinese Armed Police Forces Jiangshu Yangzhou 225003  
姜景辉 武警江苏省总队医院骨科,江苏扬州225003 Department of Orthopaedics,the Hospital of Chinese Armed Police Forces Jiangshu Yangzhou 225003  
殷磊 武警江苏省总队医院骨科,江苏扬州225003 Department of Orthopaedics,the Hospital of Chinese Armed Police Forces Jiangshu Yangzhou 225003  
期刊信息:《中国骨伤》2003年16卷,第2期,第76-78页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨陈旧性寰枢不稳的原因和枕颈融合术的疗效。

方法:自1985-1988年共施行枕颈融合术治疗陈旧性寰枢不稳10例,其中行寰椎后弓全部切除8例,一侧寰椎后弓切除2例。

结果:术后随访13~42个月,参照贾连顺等疗效评定标准,优4例,良3例,可1例,差2例,优良率达70%.

结论:①陈旧性寰枢不稳主要原因是齿突骨折不愈合和寰枢椎旋转脱位与固定;②枕颈融合术是治疗陈旧性寰枢椎不稳的有效方法。
[关键词]:寰枢关节  关节不稳定  外科手术
 
Occipital-cervical fusion for the treatment old atlantoaxial instability
Abstract:

Objective:To explore the cause of the old atlantoaxial instability and the clinical Results of the occipito-cervical fusion

Methods:From 1985 to 1998,10 cases of the old atlantoaxial instability were operated with occipito-cervical fusion,of them,whole posterior arch of atlas was removed in 8 cases and one side in 2 cases.

Results:All of the cases were followed up from 13 to 42 months,according to standard of Jia Lian-shun,4 cases had excellent result,3 cases good,1 fair and 2 poor,excellent and good rate was 70%.

Conclusion:The main causes of old atlantoaxial instability are nonunion of odontoid fracture and atlantoaxial rotation dislocation.Occipito-cervical fusion is an effective method for the treatment of old atlantoaxial instability.
KEYWORDS:Atlanto-axial joint  Joint instability  Surgery,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:胡玉华,王长峰,胡传亮,姜景辉,殷磊.枕颈融合术治疗陈旧性寰枢不稳[J].中国骨伤,2003,16(2):76~78
英文格式:HU Yuhua,WANG Changfeng,HU Chuanliang.Occipital-cervical fusion for the treatment old atlantoaxial instability[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(2):76~78
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