| 后路经侧块关节螺钉内固定技术治疗寰枢椎不稳 |
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Received:June 07, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 阮建伟 |
RUAN Jian-wei |
台州市立医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China |
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| 范顺武 |
FAN Shun-wu |
浙江大学附属邵逸夫医院骨科 |
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Fansw@srrsh.com |
| 方向前 |
FANG Xiang-qian |
浙江大学附属邵逸夫医院骨科 |
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| 王海宝 |
WANG Hai-bao |
台州市立医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China |
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| 乔黎桠 |
QIAO Li-ya |
台州市立医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China |
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| 陈滔 |
CHEN Tao |
台州市立医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China |
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| 赵小平 |
ZHAO Xiao-ping |
台州市立医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China |
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| 韩建华 |
HAN Jian-hua |
台州市立医院骨科，浙江 台州 318000 |
Department of Orthopaedics,Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第2期，第135-137页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：评价Magerl法内固定治疗寰枢椎不稳或脱位的临床疗效。
方法：寰枢椎不稳14例，男10例，女4例；年龄17～62岁，平均38.6岁。均实施后路复位，Magerl法经关节螺钉内固定和自体髂骨植骨。
结果：14例患者共植入经关节螺钉28枚。所有患者获随访，时间9～35个月，平均16个月，术后JOA评分13.8～15.8分，平均(14.50±0.66)分。改善率平均(76.12±4.94)%.术后无椎动脉和脊髓损伤发生，植骨全部融合。
结论：Magerl法固定是治疗寰枢椎不稳的良好方法之一，无须加用结构性植骨和辅助内固定，自体颗粒状松质骨植骨即可实现有效的骨性融合。 |
| [关键词]:寰枢椎融合 经关节螺钉 内固定器 寰枢椎不稳 |
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| Treatment of atlantoaxial instability with C1-C2 posterior transarticular screw fixation |
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Abstract:
Objective: To evaluate the technique of C1-C2 transarticular screw fixation for atlantoaxial instability or dislocation.
Methods: Among 14 patients with atlantoaxial instability,10 were male and 4 patients were female,with an average age of 38.6 years ranging from 17 to 62 years. All patients were treated by internal fixation with transarticular screws.
Results: There were 28 screws applied in 14 patients. All patients were followed up. The average follow-up period was 16 months(range,9 to 35 months). The postoperative JOA score was ranging from 13.8 to 15.8 with the average score of (14.50±0.66)and the improved rate of(76.12±4.94)%. No spinal injury and vertical artery injury was found and osseous fusion was completed in all patients.
Conclusion: The technique of C1-C2 transarticular screw fixation is one of the best treatments for atlantoaxial instability. Without the help of structural bone graft and aided internal fixation,morselized cancellous bone graft can acquire effective osseous fusion. |
| KEYWORDS:Atlantoaxial fusion Transarticular screw Internal fixators Atlantoaxial instability |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 阮建伟,范顺武,方向前,王海宝,乔黎桠,陈滔,赵小平,韩建华.后路经侧块关节螺钉内固定技术治疗寰枢椎不稳[J].中国骨伤,2008,21(2):135~137 |
| 英文格式: | RUAN Jian-wei,FAN Shun-wu,FANG Xiang-qian,WANG Hai-bao,QIAO Li-ya,CHEN Tao,ZHAO Xiao-ping,HAN Jian-hua.Treatment of atlantoaxial instability with C1-C2 posterior transarticular screw fixation[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(2):135~137 |
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