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寰枢椎后路固定技术研究进展

Hits: 2238 Download times: 1307 Received:June 14, 2007

作者	Author	单位	Unit	E-Mail
唐向盛	TANG Xiang-sheng	中日友好医院骨科,北京100029	Department of Orthopaedics,China-Japan Hospital,Beijing 100029,China	tangxiangsheng2008@yahoo.com.cn
谭明生	TAN Ming-sheng	中日友好医院骨科,北京100029	Department of Orthopaedics,China-Japan Hospital,Beijing 100029,China

期刊信息：《中国骨伤》2007年20卷，第8期，第578-580页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

寰枢椎不稳是由炎症、创伤、先天性疾病、肿瘤或退变引起的脊柱生物力学异常改变,常常需要手术固定。最初的后路钢丝固定技术操作安全,但术后需要较长时间外固定制动,并且不融合率高。螺钉固定技术(经关节螺钉、寰枢椎侧块和椎弓根钉技术)融合率高、不需要坚强的术后制动,但是其技术要求高。枢椎椎板螺钉能坚强固定寰枢椎复合体,可作为枢椎椎弓根螺钉的补充固定技术。文中将复习寰枢椎复合体后路固定的发展史和各种技术,同时讨论各自的成功率及其并发症。

[关键词]:寰枢关节脊柱融合术骨折固定术,内

Progress of the techniques of posterior atlanto-axial fixation

Abstract:Instability of the atlanto-axial complex resulted from inflammatory,traumatic,congenital,neoplastic or degenerative disorders and required surgical stabilization.Initial dorsal wiring technique was allowed to a safe fixation,but required rigid external immobilization and associated with high fusion failure rate.Rigid screw fixation techniques including transarticular screw fixation,atlanto-axial lateral mass and pedicle screw fixation could offer a high fusion rate and less need of rigid immobilization but more operation skill was demanded.Crossing C2 laminar screws provided a rigid fixation and could be used as a supplemental fixation method to C2 pedicle screw fixation technique.The history and techniques of dorsal fixation of the atlanto-axial complex were reviewed,and the success rate and complications of each were discussed.

KEYWORDS:Atlanto-axial joint Spinal fusion Fracture fixation,internal

引用本文，请按以下格式著录参考文献：

中文格式:	唐向盛,谭明生.寰枢椎后路固定技术研究进展[J].中国骨伤,2007,20(8):578~580
英文格式:	TANG Xiang-sheng,TAN Ming-sheng.Progress of the techniques of posterior atlanto-axial fixation[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(8):578~580

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