颅骨牵引复位配合颈前路减压融合术治疗下颈椎骨折脱位合并关节突绞锁的临床研究

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (555 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of cranial traction reduction combined with anterior cervical decompression and fusion in the treatment of lower cervical spine fracture and dislocation combined with articular process interlocking. Methods A total of 96 patients with fracture and dislocation of the lower cervical vertebra combined with articular process lock admitted to the 8th Medical Center of PLA General Hospital from January 2015 to January 2018 were selected. According to the random number table method, all patients were divided into control group and study group with, 48 cases in each group. The study group was treated with skull traction reduction combined with anterior cervical decompression and fusion, while the control group was treated with anterior pry and fixation. The clinical efficacy, patient recovery, spinal cord nerve function and perioperative indexes of the two groups were compared, and postoperative complications of the two groups were recorded. Results The total effective rate of the study group was significantly higher than that of the control group (P ＜ 0.05). The scores of sensory function and motor function in the two groups increased one year after operation, and the score in the study group were higher than those in the control group (P ＜ 0.05). The operation time of the study group was shorter than that of the control group, and the amount of bleeding during the operation was less than that of the control group (P ＜ 0.05). The improvement of American spinal cord injury association (ASIA) grading of the study group was significantly better than that of the control group (P ＜ 0.05). The incidence of complications in the study group was significantly lower than that in the control group (P ＜ 0.05). Conclusion The curative effect of cranial traction reduction combined with anterior cervical decompression and fusion in treatment of lower cervical spine fracture and dislocation combined with articular process interlocking is remarkable, it can effectively improve the spinal nerve function, and reduce the incidence of complications.

Key words： Cranial traction reduction Anterior cervical decompression and fusion Lower cervical spine fracture and dislocation combined with articular process interlocking Clinical study

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIAN Wei WU Guangseng XI Jiancheng CAI Xiaojun CHEN Xing WANG Yongchuan

Cite this article:

JIAN Wei WU Guangseng XI Jiancheng CAI Xiaojun CHEN Xing WANG Yongchuan. Clinical study of cranial traction reduction combined with anterior cervical decompression and fusion in the treatment of lower cervical spine fracture and dislocation combined with articular process interlocking[J]. 中国医药导报, 2019, 16(36): 85-88.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I36/85

[1] 童哲，李钧，梁水彬，等.颈椎前方入路治疗下颈椎骨折脱位伴关节突绞锁[J].中国脊柱脊髓杂志，2016，26（11）：1051-1053.
[2] 陆林，叶哲伟，安颍，等.Ⅰ期前后路联合手术治疗复杂下颈椎骨折脱位伴关节突绞锁[J].临床外科杂志，2016， 24（11）：875-878.
[3] Inagaki T，Kimura A，Makishi G，et al. Development of a new clinical decision rule for cervical CT to detect cervical spine injury in patients with head or neck trauma [J]. Emerg Med J，2018，35（10）：614-618.
[4] 刘加元，李业成，刘守正，等.Ⅰ期局麻后前路联合手术治疗下颈椎骨折脱位伴关节突绞锁[J].创伤外科杂志，2014，16（2）：160.
[5] 朱道平，刘克斌，黄奎.后路减压固定治疗伴椎间盘突出的下颈椎骨折脱位[J].骨科，2014，5（2）：98-101.
[6] 李建军，王方永.脊髓损伤神经学分类国际标准（2011年修订）[J].中国康复理论与实践，2011，17（10）：963-972.
[7] 常巍，王达义，李兵奎，等.一期后前路联合手术治疗下颈椎骨折脱位伴关节突绞锁[J].实用医学杂志，2015，31（12）：2069-2070.
[8] 邵川强，刘勇.颈前路治疗下颈椎骨折脱位并脊髓损伤的临床效果[J].中国医药导报，2019，16（12）：81-84.
[9] Ding C，Wu TK，Gong Q，et al. Anterior release and nonstructural bone grafting and posterior fixation for old lower cervicaldislocations with locked facets [J]. Medicine （Baltimore），2017，96（46）：e8809.
[10] 康永生，梅伟，王庆德，等.术中颅骨牵引结合撬拨助推技术在治疗单节段下颈椎关节突绞锁中的应用[J].中国脊柱脊髓杂志，2017，27（4）：381-384.
[11] 杨子斌，赵伟，吕乔，等.椎弓根钉棒治疗下颈椎骨折脱位合并小关节绞锁的疗效[J].临床骨科杂志，2015，18（5）：518-520.
[12] Quarrington RD，Jones CF，Tcherveniakov P，et al. Traumatic subaxial cervical facet subluxation and dislocation：epidemiology，radiographic analyses，and risk factors for spinal cord injury [J]. Spine J，2018，18（3）：387-398.
[13] 刘军，李伟伟，弓立群，等.前路或前-后联合入路治疗下颈椎骨折脱位合并关节突交锁[J].临床骨科杂志，2019，22（3）：257-260.
[14] 邱北溟，张臣丽，韩玉健.前路减压植骨内固定术治疗下颈椎骨折脱位[J].中国临床研究，2018，31（9）：1206-1209.
[15] Anissipour AK，Agel J，Baron M，et al. Traumatic Cervical Unilateral and Bilateral Facet Dislocations Treated With Anterior CervicalDiscectomy and Fusion Has a Low Failure Rate [J]. Global Spine J，2017，7（2）：110-115.
[16] 刘军，范亚一，李伟伟，等.后路联合前路一期手术治疗闭合复位失败的下颈椎关节突脱位[J].中国骨与关节损伤杂志，2019，34（1）：44-46.
[17] 沈哲，郭伟壮，杨欣建.颅骨牵引复位配合前路减压融合治疗下颈椎骨折脱位伴关节突绞锁[J].实用骨科杂志，2019，25（1）：55-58.
[18] 贾永鹏，林杰，孙军健，等.颈后路侧块螺钉固定治疗下颈椎骨折脱位的远期效果观察[J].中国医药导报，2017， 14（18）：84-86，90.
[19] Zhang L，Sun Y，Jiang C，et al. Dorsal open reduction with pedicle screw rod internal fixation for lower cervical spine dislocation：A retrospective analysis of 12 cases [J]. Neurochirurgie，2016，62（5）：245-250.
[20] 陈举，张朝春.全麻下颅骨牵引复位配合颈前路减压融合治疗下颈椎骨折脱位伴关节突交锁[J].第三军医大学学报，2016，38（1）：93-96.
[21] Liu P，Yang JS，Liu TJ，et al. Complete fracture-dislocation of the lower cervical spine without permanent neurologic sequela：the typical imaging changes [J]. Spine J，2016，16（3）：e197-e199.