McNamara M J, Devito D P, Spengler D M
Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2550.
J Spinal Disord. 1991 Dec;4(4):467-71. doi: 10.1097/00002517-199112000-00010.
Combined, single-stage anterior and posterior approaches for acute surgical management of cervical spine injury allows for early restoration of anatomic alignment and decompression. Six patients underwent single-stage anterior decompression and posterior instrumentation and fusion at Vanderbilt University Medical Center between 1984-1989. There was no late deformity. Five patients had incomplete neurologic deficits, and each improved a minimum of one Frankel classification. One patient had complete neurologic deficit at the C5 level. The procedure is lengthy, with an average time under anesthesia of 7.7 hs. Since this procedure allows for immediate mobilization, it should be considered for the management of cervical spine fractures with both anterior and posterior column instability.
联合一期前后路手术用于颈椎损伤的急性外科治疗，可实现解剖复位和减压的早期恢复。1984年至1989年间，范德比尔特大学医学中心有6例患者接受了一期前路减压、后路内固定及融合术。无晚期畸形发生。5例患者存在不完全神经功能缺损，且每例患者至少提高了一个Frankel分级。1例患者在C5水平存在完全性神经功能缺损。该手术耗时较长，平均麻醉时间为7.7小时。由于该手术允许患者立即活动，对于伴有前后柱不稳定的颈椎骨折的治疗应考虑采用此方法。
