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下颈椎骨折脱位的前路钢板固定术。

Anterior plate stabilization for fracture-dislocations of the lower cervical spine.

作者信息

Böhler J, Gaudernak T

出版信息

J Trauma. 1980 Mar;20(3):203-5. doi: 10.1097/00005373-198003000-00002.

DOI:10.1097/00005373-198003000-00002
PMID:7359594
Abstract

In fracture-dislocations of the cervical spine with associated injury to the supporting posterior elements, anterior interbody bone block or dowel fusion does not give sufficient stability to the involved area. Additional fixation using an H- or HH-ASIF plate has been employed over the past 2 years in 26 cases. All patients had achieved solid fusion of the involved region of the cervical spine without recurrence of the deformity. None has required additional external plaster fixation. In 21 patients with neurologic involvement, recovery (complete, marked, or partial) occurred in 14; there was no recovery in four; deaths in three patients were late and in two were not related to their operations.

摘要

在伴有后方支持结构损伤的颈椎骨折脱位中,前路椎间植骨块或榫钉融合术不能为受累区域提供足够的稳定性。在过去两年中,对26例患者采用了H型或HH型ASIF钢板进行额外固定。所有患者颈椎受累区域均实现了牢固融合,畸形无复发。无一例需要额外的外部石膏固定。在21例有神经损伤的患者中,14例恢复(完全、显著或部分恢复);4例未恢复;3例患者晚期死亡,2例死亡与手术无关。

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