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]。