Stauffer E S, Kelly E G
J Bone Joint Surg Am. 1977 Jan;59(1):45-8.
Anterior intervertebral-body fusion has been advocated by various authors for management of several varieties of fracture and fracture-dislocation of the cervical spine. This report is a retrospective study of sixteen patients, all of whom had a fracture-dislocation of the cervical spine, who were treated with an anterior dowel interbody fusion. All had postoperative instability with recurrence of angular deformity, and all sixteen were shown to have disruption of the posterior ligaments. Three patients had a progressive neurological deficit postoperatively. Thirteen patients required two or more operative attempts at stabilization. Anterior fusion should not be performed as primary surgical treatment for fractures of the cervical spine when there is either evidence of disruption of the posterior ligaments or a strong presumption that such disruption exists.
多位作者主张采用椎体前路融合术治疗多种类型的颈椎骨折和骨折脱位。本报告是一项对16例患者的回顾性研究，所有患者均为颈椎骨折脱位，均接受了前路插销式椎间融合术治疗。所有患者术后均存在不稳定且角状畸形复发，并且所有16例患者均显示后韧带断裂。3例患者术后出现进行性神经功能缺损。13例患者需要进行两次或更多次稳定手术尝试。当有后韧带断裂的证据或强烈推测存在这种断裂时，前路融合术不应作为颈椎骨折的主要手术治疗方法。
