Pointillart V, Orta A L, Freitas J, Vital J M, Senegas J
Unité de Pathologie Rachidienne, Hôpital Tripode, Bordeaux, France.
Eur Spine J. 1994;3(5):282-5. doi: 10.1007/BF02226580.
A total of 150 odontoid fractures was treated over a 12-year period, 43 by anterior screw fixation. The rate of pseudarthrosis dropped from 20% to 5% in type II unstable fractures. Thus, anterior screw fixation seems to be safe and efficient, and may be more widely used to treat all type II and some type III fractures. Odontoid pseudarthrosis is usually tolerated quite well and therefore requires no correction. If necessary, anterior grafting with fixation can be proposed as an alternative for posterior fusion.
在12年期间共治疗了150例齿状突骨折，其中43例采用前路螺钉固定。II型不稳定骨折的假关节形成率从20%降至5%。因此，前路螺钉固定似乎是安全有效的，可能会更广泛地用于治疗所有II型和部分III型骨折。齿状突假关节通常耐受性良好，因此无需矫正。如有必要，可建议采用前路植骨固定作为后路融合的替代方法。
