IR@PKUHSC  > 北京大学第三临床医学院  > 骨科
学科主题骨科学
借助于枢椎椎板钉重建寰枢关节稳定的初步临床报告
其他题名C2 translaminar screws for atlantoaxial instability: preliminary clinical report of nine cases
王超; 王圣林; 闫明
关键词枢椎 寰枢关节 内固定器 椎板钉 Axis Alanto-axial Joint Internal Fixators Laminar Screws
刊名中华外科杂志
2008
DOI10.3321/j.issn:0529-5815.2008.20.012
46期:20页:1557-1561
收录类别中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型Journal Article
摘要目的 探讨以枢椎椎板置钉法完成寰枢或枕颈固定,用以治疗寰枢关节不稳的可行性.方法 对枢椎椎弓根畸形或椎动脉异位的病例以枢椎椎板置钉的方法 完成寰枢或枕颈固定.如果一侧枢椎椎弓根是大致正常的,就在该侧用椎弓根钉固定,在对侧用枢椎椎板钉固定.在寰椎以侧块螺钉固定,在枕骨以短螺钉固定.用连接棒在寰枢或枕枢间连接.在寰枢后弓间或枕骨与枢椎椎弓间植入颗粒状松质骨.结果 共完成了9个病例,其中寰枢固定2例,枕颈固定7例.使用一侧枢椎椎弓根钉固定、另一侧枢椎椎板钉固定6例,两侧均为椎板钉固定3例.9例均得到随访,随访时间4-13个月(平均9个月).所有病例均得到骨性融合.有神经症状的8例中,症状改善情况为:优3例,良1例,可2例,无变化2例.1例椎板钉进入了椎管.所有病例均没有出现脊髓和椎动脉损伤症状.结论 枢椎椎板置钉操作简便、安全,固定效果可靠.可以作为枢椎椎弓根置钉固定的后备方法 ,适用于椎弓根畸形或椎动脉异位的病例. Objective C2 pedicle screw is the classic instrumentation for posterior C2 fixation.But it could be dangerous in case of anatomical variation, such as high riding vertebral artery and small C2 pedicle.C2 translaminar screw could be an alternative choice.This retrospective study is to evaluate the feasibility of C2 translaminar screw for atlantoaxial instability with anatomical variation.Methods In our clinical work, we had nine atlantoaxial instability cases with C2 pedicle malformation, ff the malformation is unilateral, we inserted one C2 translaminar screw and one C2 pedicle screw in the normal pedicle; if the malformation is bilateral, bilateral translaminar screws were used. Then C2 instrumentation could be connected with C1 lateral mass screw or occipital screw in cases with C1 occipitalization.Then atlantoaxial or occipitocervical fusion could be done with morselized autogenous cancellous iliac grafts.Results Nine cases had C2 translaminar screw, including 2 atlantoaxial fusion and 7 oceipitocervical fusion.Six cases had unilateral translaminar screw and 3 had bilateral translaminar screw.Radiographs demonstrated all the screws were placed satisfactorily except one.There was no neurological deterioration or vertebral artery injury.All the cases had an average follow-up of 9 months (4-13 months).All patients attained solid fusion without screw failure.In the 8 cases with neurological deficit, 3 were excellent, 1 was good, 2 were fair and 2 had no change.Conclusions C2 translaminar screw fixation could provide sufficient stability.This technique could be an alternative to standard C2 pedicle screw in cases with pedicle malformation and high riding vertebral artery.It is safe and simple in experienced hands.
语种中文
原文出处查看原文
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/70597
专题北京大学第三临床医学院_骨科
作者单位北京大学第三医院骨科,100083
推荐引用方式
GB/T 7714
王超,王圣林,闫明. 借助于枢椎椎板钉重建寰枢关节稳定的初步临床报告[J]. 中华外科杂志,2008,46(20):1557-1561.
APA 王超,王圣林,&闫明.(2008).借助于枢椎椎板钉重建寰枢关节稳定的初步临床报告.中华外科杂志,46(20),1557-1561.
MLA 王超,et al."借助于枢椎椎板钉重建寰枢关节稳定的初步临床报告".中华外科杂志 46.20(2008):1557-1561.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[王超]的文章
[王圣林]的文章
[闫明]的文章
百度学术
百度学术中相似的文章
[王超]的文章
[王圣林]的文章
[闫明]的文章
必应学术
必应学术中相似的文章
[王超]的文章
[王圣林]的文章
[闫明]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。