Anderson-D'Alonzo III型齿状突骨折保守治疗后骨不连的危险因素
Risk factors of non-union in Anderson-D'Alonzo type III odontoid fractures with conservative treatment.
作者信息
Koshimizu Hiroyuki, Nakashima Hiroaki, Ito Keigo, Ando Kei, Kobayashi Kazuyoshi, Kato Fumihiko, Sato Koji, Deguchi Masao, Matsubara Yuji, Inoue Hidenori, Kanemura Tokumi, Urasaki Tetsuya, Yoshihara Hisatake, Wakao Norimitsu, Shinjo Ryuichi, Imagama Shiro
机构信息
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Nagoya Spine Group, Japan.
出版信息
J Orthop. 2021 Mar 29;24:280-283. doi: 10.1016/j.jor.2021.03.012. eCollection 2021 Mar-Apr.
Abstract
OBJECTIVE
The purpose of this study was retrospectively to analyze the risk factors for non-union in Anderson-D'Alonzo type III odontoid fractures with conservative treatment.
METHODS
25 patients with type III fractures were analyzed. Coronal and sagittal tilt as well as sagittal and lateral mass gaps were measured by using computed tomography.
RESULTS
The non-union group had significantly higher age, greater coronal tilt and lateral mass gap. Especially, the lateral mass gap was >2 mm in all cases with non-union.
CONCLUSIONS
Higher age, coronal tilt, and lateral mass gap were significant risk factors for non-union.
摘要
目的
本研究旨在回顾性分析采用保守治疗的Anderson-D’Alonzo III型齿状突骨折不愈合的危险因素。
方法
对25例III型骨折患者进行分析。使用计算机断层扫描测量冠状面和矢状面倾斜度以及矢状面和侧块间隙。
结果
不愈合组患者年龄显著更大，冠状面倾斜度和侧块间隙更大。特别是，所有不愈合病例的侧块间隙均>2 mm。
结论
年龄较大、冠状面倾斜度和侧块间隙是不愈合的重要危险因素。
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本文引用的文献
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2
Type III odontoid fractures: A subgroup analysis of complex, high-energy fractures treated with external immobilization.Ⅲ型齿状突骨折：对采用外固定治疗的复杂高能骨折的亚组分析。
J Craniovertebr Junction Spine. 2018 Jan-Mar;9(1):63-67. doi: 10.4103/jcvjs.JCVJS_152_17.
3
Management of Odontoid Fractures in the Elderly: A Review of the Literature and an Evidence-Based Treatment Algorithm.老年人齿状突骨折的治疗：文献回顾与循证治疗方案。
Neurosurgery. 2018 Apr 1;82(4):419-430. doi: 10.1093/neuros/nyx546.
4
Traction Induced Vertical Displacement of Odontoid due to Type III Odontoid Fracture with Unrecognized Ligamentous Injury: A Case Report.III型齿突骨折伴未识别韧带损伤导致的牵引性齿突垂直移位：一例报告
Korean J Neurotrauma. 2014 Oct;10(2):149-51. doi: 10.13004/kjnt.2014.10.2.149. Epub 2014 Oct 31.
5
The optimal treatment of type II and III odontoid fractures in the elderly: a systematic review.老年 II 型和 III 型齿状突骨折的最佳治疗方法：系统评价。
Eur Spine J. 2013 Jan;22(1):1-13. doi: 10.1007/s00586-012-2452-3. Epub 2012 Sep 2.
6
Surgical treatment of dens fractures in elderly patients.老年患者齿突骨折的手术治疗
J Bone Joint Surg Am. 2007 Aug;89(8):1716-22. doi: 10.2106/JBJS.F.00968.
7
Type-III dens fracture with distraction: an unstable injury. A report of three cases.伴有分离的Ⅲ型齿状突骨折：一种不稳定损伤。三例报告。
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8
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9
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10
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Chirurg. 1994 Nov;65(11):964-9.
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