Mashhadinezhad Hossein, Samini Fariborz, Mashhadinezhad Ali, Birjandinejad Ali
Mashhad of University Medical Science, Trauma Research Center, Shahid Kamyab Hospital, Department of Neurosurgery, Mashhad/Khorasan Razavi, Islamic Republic of Iran.
Turk Neurosurg. 2012;22(5):583-7. doi: 10.5137/1019-5149.JTN.5231-11.2.
This study was conducted to evaluate the therapeutic effectiveness of surgical approaches in type II odontoid fracture.
In a retrospective study in Mashhad university, 15 patients with anterior screw fixation technique (ASF) and 31 patients with posterior approaches (PA) were reviewed. Patient demographics, clinical presentation, length of hospital stay, operation time, injury severity score (ISS), Preinjury Charlson comorbidity index, fusion rate and surgical complications were analyzed in these two groups.
Neck pain was the most common clinical presentation in these two groups (89.7%). There were no significant differences in ISS and mean length of hospital stay and Comorbidity index between the two groups. The operation time was different between these two groups (65 minutes in ASF versus118 minutes in PA, P < 0.05). Bone union was documented in 13 patients (87%) with ASF and 28 patients (90%) with PA.
The outcome of surgery with anterior or posterior approach in the patients are potential candidates for surgery is good. In our patients, the operation time is different in the two groups but differences in fusion rate, length of hospital stay, comorbidity index and postsurgical complications are not considerable.
本研究旨在评估手术方法治疗Ⅱ型齿状突骨折的疗效。
在马什哈德大学进行的一项回顾性研究中，对15例行前路螺钉固定技术（ASF）的患者和31例行后路手术（PA）的患者进行了评估。分析了两组患者的人口统计学资料、临床表现、住院时间、手术时间、损伤严重程度评分（ISS）、伤前查尔森合并症指数、融合率及手术并发症。
两组中颈部疼痛是最常见的临床表现（89.7%）。两组间ISS、平均住院时间及合并症指数无显著差异。两组手术时间不同（ASF组65分钟，PA组118分钟，P<0.05）。13例（87%）行ASF手术的患者和28例（90%）行PA手术的患者实现了骨愈合。
对于适合手术的患者，前路或后路手术的效果良好。在我们的患者中，两组手术时间不同，但融合率、住院时间、合并症指数及术后并发症方面的差异不显著。
