| 颈椎脱位治疗策略 |
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Received:July 29, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 辛林伟 |
XIN Lin-wei |
桂林医学院附属医院骨科,广西 桂林 541001 |
Department of Orthopaedics,the Affiliated Hospital of Guilin Medical College,Guilin 541001,Guangxi,China |
xinlinwei@hotmail.com |
| 唐际存 |
TANG Ji-cun |
桂林医学院附属医院骨科,广西 桂林 541001 |
Department of Orthopaedics,the Affiliated Hospital of Guilin Medical College,Guilin 541001,Guangxi,China |
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| 胡军祖 |
HU Jun-zu |
桂林医学院附属医院骨科,广西 桂林 541001 |
Department of Orthopaedics,the Affiliated Hospital of Guilin Medical College,Guilin 541001,Guangxi,China |
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| 李强 |
LI qiang |
桂林医学院附属医院骨科,广西 桂林 541001 |
Department of Orthopaedics,the Affiliated Hospital of Guilin Medical College,Guilin 541001,Guangxi,China |
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| 期刊信息：《中国骨伤》2009年22卷，第1期，第29-31页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨颈椎脱位治疗方法选择。
方法：颈椎脱位患者39例，男29例，女10例；年龄6～74岁，平均为40岁。脱位节段：C1,2 15例，C3,4 1例，C4,5 9例，C5,6 9例，C6,7 5例。脊髓损伤按Frankel分级：A级9例，B级8例，C级5例，D级8例，E级8例，仅有神经根症状1例。32例进行了早期、快速、重量递增的牵引治疗。17例进行手术治疗。
结果：牵引复位成功率90%,脊髓损伤平均改善0.63级。死亡6例，均为关节突交锁并严重脊髓损伤病例。
结论：快速复位牵引治疗颈椎脱位，需密切观察病情，严防牵引过度。是否手术应根据复位情况、MRI表现、脊髓损伤及全身状况与条件综合考虑。 |
| [关键词]:颈椎 脱位 牵引 外科手术 |
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| Strategy of the treatment for dislocation of cervical vertebra |
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Abstract:
Objective: To study the strategy of the treatment for dislocation of cervical vertebra.
Methods: The clinical data of 39 cases with dislocation of cervical vertebra were analyzed. Among them,29 were male and 10 were female. The average age was 40 years old(range from 6 to 74 years old). Segment of dislocation:15 cases in C1,2,1 case in C3,4,9 cases in C4,5,9 cases in C5,6,5 cases in C6,7. Spinal injury according to Frankel grade,9 cases were A grade,8 were B,5 were C,8 were D,8 were E,1 case had radicular symptom. Thirty-two cases were early and rapidly treated with traction(progressive weight). Seventeen cases were treated with operation.
Results: Traction-reduction was successful in 90% of patients. According to Frankel grade,32 cases averagely improved 0.63 grades. Six cases of severe spinal injury accompany with interlocking of zygopophysis died.
Conclusion: Inspecting weight of traction is important in rapid traction-reduction for dislocation of cervical vertebra. The choice of surgical treatment depends on the degree of reduction,the result of MRI,the grade of spinal trauma and the status of patients. |
| KEYWORDS:Cervical vertebra Dislocation Traction Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 辛林伟,唐际存,胡军祖,李强.颈椎脱位治疗策略[J].中国骨伤,2009,22(1):29~31 |
| 英文格式: | XIN Lin-wei,TANG Ji-cun,HU Jun-zu,LI qiang.Strategy of the treatment for dislocation of cervical vertebra[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(1):29~31 |
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