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一系列Ⅱ型C2骨折齿状突固定手术治疗的学习曲线

Learning Curve in Surgical Treatment of Odontoid Fixation for a Series of Type II C2 Fractures.

作者信息

Maugeri Rosario, Iacopino Domenico Gerardo, Giammalva Giuseppe Roberto, Graziano Francesca, Gulì Carlo

机构信息

Neurosurgical Clinic, AOUP "Paolo Giaccone", PostGraduate Residency Program in Neurologic Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, University of Palermo, Palermo, Italy.

出版信息

Acta Neurochir Suppl. 2019;125:325-327. doi: 10.1007/978-3-319-62515-7_47.

DOI:10.1007/978-3-319-62515-7_47
PMID:30610341
Abstract

The craniovertebral junction (CVJ) is a complex anatomical area upon which most of the motion of the upper cervical spine depends [1]. Because of its unique range of motion, the CVJ is subject to several types of traumatic injury; it has been shown that odontoid fractures are the most common ones in the general population and are the most common isolated spinal fractures [2]. Accounting for up to 18% of all cervical fractures, odontoid fractures are the most common ones in elderly patients [3], in whom they account for up to 60% of spinal cord injuries [4].

摘要

颅颈交界区(CVJ)是一个复杂的解剖区域,上颈椎的大部分运动都依赖于此[1]。由于其独特的活动范围,颅颈交界区易遭受多种类型的创伤性损伤;研究表明,齿突骨折是普通人群中最常见的损伤类型,也是最常见的孤立性脊柱骨折[2]。齿突骨折占所有颈椎骨折的比例高达18%,是老年患者中最常见的骨折类型[3],在老年患者中,齿突骨折占脊髓损伤的比例高达60%[4]。

相似文献

1
Learning Curve in Surgical Treatment of Odontoid Fixation for a Series of Type II C2 Fractures.一系列Ⅱ型C2骨折齿状突固定手术治疗的学习曲线
Acta Neurochir Suppl. 2019;125:325-327. doi: 10.1007/978-3-319-62515-7_47.
2
Primary posterior fusion C1/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation.齿状突骨折中C1/2的一期后路融合:经关节螺钉固定的适应证、技术及结果
J Spinal Disord. 1992 Dec;5(4):464-75. doi: 10.1097/00002517-199212000-00012.
3
Clinical evaluation of anterior screw fixation for elderly patients with type II odontoid fractures.老年Ⅱ型齿状突骨折患者前路螺钉固定的临床评估
J Spinal Disord Tech. 2011 Dec;24(8):E75-81. doi: 10.1097/BSD.0b013e3182318517.
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Simultaneous anterior and posterior screw fixations confined to the axis for stabilization of a 3-part fracture of the axis (odontoid, dens, and hangman fractures): report of 2 cases.前后联合寰枢椎螺钉内固定治疗寰椎 3 部分骨折(齿状突、枢椎、Hangman 骨折):2 例报告
J Neurosurg Spine. 2014 Mar;20(3):265-9. doi: 10.3171/2013.12.SPINE12448. Epub 2014 Jan 10.
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Use of C1 lateral mass and C2 intralaminar fixation to stabilize a 30-year-old odontoid fracture that was causing myelopathy.采用C1侧块和C2椎板内固定术来稳定一名30岁因齿状突骨折导致脊髓病患者的病情。
Am J Orthop (Belle Mead NJ). 2009 Apr;38(4):E78-81.
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Cement-augmented anterior screw fixation of Type II odontoid fractures in elderly patients with osteoporosis.骨水泥增强型前螺钉固定治疗老年骨质疏松性Ⅱ型齿状突骨折。
Spine J. 2013 Dec;13(12):1858-63. doi: 10.1016/j.spinee.2013.06.031. Epub 2013 Aug 28.
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C1-c2 pedicle screw fixation for treatment of old odontoid fractures.C1-C2椎弓根螺钉固定术治疗陈旧性齿状突骨折
Orthopedics. 2015 Feb;38(2):94-100. doi: 10.3928/01477447-20150204-52.
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Odontoid screw fixation for fresh and remote fractures.齿突螺钉固定治疗新鲜和陈旧性骨折。
Neurol India. 2005 Dec;53(4):416-23. doi: 10.4103/0028-3886.22607.
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The comparison of clinical outcome of fresh type II odontoid fracture treatment between anterior cannulated screws fixation and posterior instrumentation of C1-2 without fusion: a retrospective cohort study.新鲜Ⅱ型齿状突骨折治疗中空心加压螺钉前路固定与C1-2后路内固定不融合的临床疗效比较:一项回顾性队列研究。
J Orthop Surg Res. 2018 Jan 8;13(1):3. doi: 10.1186/s13018-017-0702-0.
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[Primary osteosynthesis of the odontoid process: a multicenter study].[齿突原发性骨合成:一项多中心研究]
Acta Chir Orthop Traumatol Cech. 2002;69(3):141-8.

引用本文的文献

1
Is Direct Transpedicular C2 Fixation (Judet Approach) a Timeless Technique to Learn for C2 Fractures?直接经椎弓根C2固定术(Judet入路)对于C2骨折而言是一项值得学习的经典技术吗?
Global Spine J. 2025 Aug 11:21925682251367412. doi: 10.1177/21925682251367412.
2
Diffuse idiopathic skeletal hyperostosis: A functional enemy of vertebral stability - Case series and surgical consideration of craniovertebral junction involvement.弥漫性特发性骨肥厚:椎体稳定性的功能性敌人——颅颈交界区受累的病例系列及手术考量
J Craniovertebr Junction Spine. 2023 Jul-Sep;14(3):274-280. doi: 10.4103/jcvjs.jcvjs_72_23. Epub 2023 Sep 18.