[枢椎齿突骨折的轴向骨固定术作为神经创伤学中的常规手术。诊断——手术技术——并发症——随访]
[Axial osteosynthesis of dens axis fracture as a routine procedure in neurotraumatology. Diagnosis--Surgical-technique--Complications--Follow-up].
作者信息
Knopf W, Vater H, Meier U, Ewert P, Schmidt V
机构信息
Neurotraumatologische Klinik, Städtischen Krankenhauses, Freidrichshain, Berlin.
出版信息
Zentralbl Neurochir. 1990;51(2):85-90.
A survey on 34 cases of odontoid process fractures treated by means of axial osteosynthesis since 1981. In cases of acute fractures rate of bony consolidation was 100%, in cases of pseudoarthrosis 50%. 6 complications until the first 20 weeks were successfully treated. No later complications. Removal of implanted material is usually not necessary. Operative treatment of non union by means of bony grafting, axial osteosynthesis and atlanto-axial arthrodesis seems to be helpful. Investigations for the best implantation model must be continued.
自1981年以来对34例采用轴向骨固定术治疗的齿突骨折病例进行的一项调查。急性骨折病例的骨愈合率为100%，假关节病例为50%。在前20周内出现的6例并发症均得到成功治疗。无后期并发症。通常无需取出植入材料。通过植骨、轴向骨固定术和寰枢关节融合术对骨不连进行手术治疗似乎是有效的。必须继续研究最佳植入模型。
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