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儿童神经损伤合并齿状突骨折。采用皮质松质骨螺钉直接前路骨合成及文献综述。

Odontoid fractures in the child with neurological injury. Direct anterior osteosynthesis with a cortico-spongious screw and literature review.

作者信息

Godard J, Hadji M, Raul J S

机构信息

Service de Neurochirurgie, C.H.U.-Hôpital Jean Minjoz, Besançon, France.

出版信息

Childs Nerv Syst. 1997 Feb;13(2):105-7. doi: 10.1007/s003810050054.

DOI:10.1007/s003810050054
PMID:9105748
Abstract

Few cases of fracture of the odontoid process in children have been reported in the literature. A case with an associated severe traumatic brain injury and a suspected clinical high cervical spinal cord injury is reported here. This case is of interest because of the surgical treatment selected. A direct surgical approach was used for anterior screwing, with an excellent result. In some precisely defined circumstances, therefore, this treatment can be indicated.

摘要

文献中报道的儿童齿状突骨折病例较少。本文报告一例伴有严重创伤性脑损伤及疑似临床高位颈脊髓损伤的病例。由于所选择的手术治疗方式,该病例具有一定的研究价值。采用直接手术入路进行前路螺钉固定,效果良好。因此,在某些明确界定的情况下,可以采用这种治疗方法。

相似文献

1
Odontoid fractures in the child with neurological injury. Direct anterior osteosynthesis with a cortico-spongious screw and literature review.儿童神经损伤合并齿状突骨折。采用皮质松质骨螺钉直接前路骨合成及文献综述。
Childs Nerv Syst. 1997 Feb;13(2):105-7. doi: 10.1007/s003810050054.
2
[Anterior osteosynthesis of odontoid fractures].[齿状突骨折的前路骨合成]
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3
Direct anterior fixation of odontoid fractures with a hollow spreading screw system.使用中空撑开螺钉系统对齿状突骨折进行直接前路固定。
Acta Neurochir (Wien). 1996;138(2):146-53. doi: 10.1007/BF01411353.
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[Percutaneous anterior odontoid and transarticular screw fixation for type II odontoid fractures in elderly patients].老年患者Ⅱ型齿状突骨折的经皮前路齿状突及经关节螺钉固定术
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Sep;27(9):1090-3.
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Odontoid fracture in the elderly: a case report of the screw fixation technique.老年人齿状突骨折:一例螺钉固定技术的病例报告
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The comparison of clinical outcome of fresh type II odontoid fracture treatment between anterior cannulated screws fixation and posterior instrumentation of C1-2 without fusion: a retrospective cohort study.新鲜Ⅱ型齿状突骨折治疗中空心加压螺钉前路固定与C1-2后路内固定不融合的临床疗效比较:一项回顾性队列研究。
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引用本文的文献

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A pediatric case of axial rotary fixation associated with severe head trauma requiring emergency craniotomy for hematoma removal.一例小儿轴向旋转固定病例,伴有严重头部创伤,需紧急开颅清除血肿。
Trauma Case Rep. 2022 Oct 17;42:100724. doi: 10.1016/j.tcr.2022.100724. eCollection 2022 Dec.
2
Pediatric dens anatomy and its implications for fracture treatment: an anatomical and radiological study.小儿髁突解剖及其对骨折治疗的影响:一项解剖学和影像学研究。
Eur Spine J. 2021 Feb;30(2):416-424. doi: 10.1007/s00586-020-06490-9. Epub 2020 Jun 11.
3
Feasibility of anterior screw fixation in children: a tomographic study.
儿童前路螺钉固定的可行性:一项断层扫描研究。
Eur Spine J. 2018 Jun;27(6):1388-1392. doi: 10.1007/s00586-018-5504-5. Epub 2018 Feb 9.