黄阳亮,刘少喻,梁春祥,李浩淼,于滨生,龙厚清,韩国伟,张旭华,魏富鑫.应用Solis融合器置入治疗Ⅱ型及Ⅱa型Hangman骨折的临床疗效[J].中国脊柱脊髓杂志,2012,(2):137-141. |
应用Solis融合器置入治疗Ⅱ型及Ⅱa型Hangman骨折的临床疗效 |
中文关键词: 颈椎 Hangman骨折 椎间融合术 内固定器 |
中文摘要: |
【摘要】 目的:评价Solis椎间融合器置入治疗Ⅱ型及Ⅱa型Hangman骨折的临床疗效。方法:2006年1月~2011年11月,我科采用经前路Solis椎间融合器置入治疗Ⅱ型及Ⅱa型Hangman骨折患者17例,术中应用颈椎牵开器牵开椎间,通过紧张韧带进一步复位骨折。其中男11例、女6例,年龄19~41岁,平均26.2岁,按Levine-Edwards分类法Ⅱ型11例,Ⅱa型6例。于术后1周、3个月、6个月及末次随访时复查X线片,记录术前及末次随访时的枢椎移位及成角数据,记录术前及末次随访时的创伤后颈椎临床评分、颈部疼痛的VAS评分观察临床疗效。术前与末次随访时各数据间行t检验。结果:手术时间平均为78min(55~135min);术中出血量平均为22.5ml(10~50ml)。术中无喉上神经、咽喉壁及血管损伤,术后无喉头水肿、血肿形成及伤口感染等手术并发症。平均随访25.1个月(6~48个月),手术节段及骨折部位平均于3个月时骨性融合,未见畸形愈合,末次随访时融合器无下沉、无移位、椎间无塌陷。创伤后颈椎临床评分:术前平均为48分(45~63分),末次随访时为92分(83~97分);颈部疼痛VAS评分术前平均为6.9分(6~9分),末次随访时为1.1分(0~2分);枢椎成角术前平均为-8.6°(-20~6°),末次随访时为+3.5°(0~+8°);枢椎移位术前平均为3.4mm(1~5.5mm),末次随访时为1.2mm(0~2.0mm)。以上两组数据间差异均有统计学意义(P<0.05)。结论:应用Solis椎间融合器置入治疗Hangman骨折可行,手术操作简单、耗时短、创伤小、融合率高且有利于颈椎稳定。 |
Clinical outcomes of Solis implantation for typeⅡ and Ⅱa Hangman′s fractures |
英文关键词:Cervical vertebrae Hangman′s fracture Intervertebral fusion cage Internal fixation |
英文摘要: |
【Abstract】 Objectives: To investigate the clinical outcomes of Solis implantation for type Ⅱ and Ⅱa Hangman′s fractures. Methods: From January 2006 to November 2011, a total of 17 cases with type Ⅱ and Ⅱa Hangman′s fractures underwent anterior Solis placement. There were 11 males and 6 females, with the average age of 26.2 (range, 19-41). The reduction was achieved by distracting the intervertebral space and strengthening the tension of ligaments during operation. X-ray radiograph was taken at 1 week, 3 month, 6 months and final follow-up. The angular variation and translational displacement at pre-operative and final follow-up were recorded, and the clinical post-traumatic neck score as well as neck pain VAS score were recorded and analyzed. Results: The average operative time was 78min (55-135min) and blood loss was 22.5mL (10-50 mL). There was no surgical-related complication such as neurovascular or pharynx injury. No laryngeal edema, haematoma or infection was noted either. All patients were followedup for an average of 25.1 months (range 6-48 months), and the solid fusion was evidenced 3 months later, no cage related complications were observed. The clinical post-traumatic neck score (Mayo) was 48 (range 45-63) and 92 (range 83-97) for preoperation and final follow-up respectively; the neck pain VAS score was 6.9 (range 6-9) and 1.1 (range 0-2) for preoperation and final follow-up respectively; the angular variation was -8.6° (range -20-6°) and +3.5° (range 0-8°) for preoperation and final follow-up respectively; the translational displacement was 3.4 mm (range 1-5.5mm) and 1.2mm (range 0-2.0mm) for preoperation and final follow-up respectively. There were significant differences between the data of preoperation and final followup(P<0.05). Conclusions: The implantation of Solis for typeⅡ and Ⅱa Hangman′s fractures is feasible, simple and minimal invasive, which promises the stability of cervical spine. |
投稿时间:2011-12-27 修订日期:2012-01-10 |
DOI:10.3969/j.issn.1004-406X.2012.2.137.4 |
基金项目:基金项目:广东省科技计划项目资助项目(2008B030301303);广州市黄埔区科技计划项目资助项目(0931) |
|
摘要点击次数: 4871 |
全文下载次数: 2732 |
查看全文 查看/发表评论 下载PDF阅读器 |
关闭 |