《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (02): 108-109.

• 专题 • 上一篇    下一篇

Axis内固定系统在难复性寰枢椎脱位合并脊髓不全损伤中的应用

郝定均1; 贺宝荣1; 周劲松1; 雷伟2; 孙宏慧3; 吴起宁1; 宋宗让1   

  1. 1.西安市红十字会医院脊柱科 陕西西安市 710054;2.第四军医大学骨科研究所 陕西西安市 710000;3.第四军医大学唐都医院骨科 陕西西安市 710000
  • 收稿日期:2004-09-11 出版日期:2005-02-25 发布日期:2005-02-25

Axis internal fixation system for the treatment of timeworn atlantoaxial dislocation with incomplete spinal cord injury

HAODing-jun,HE Bao-rong, ZHOU Jin-song, et al   

  1. Department of Spine Surgery, Xi'an Red Cross Hospital, Xi'an 710054, Shanxi, China
  • Received:2004-09-11 Published:2005-02-25 Online:2005-02-25

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摘要： 目的 探讨Axis内固定系统治疗难复性寰枢椎脱位并脊髓不全损伤的疗效。方法 对29例难复性寰枢椎脱位并脊髓不全损伤患者行后路融合、Axis内固定术。随访7～46个月,平均20个月。结果 术后所有患者均获骨性融合,无脊髓损伤加重等并发症,脊髓功能按JOA 17分法评定,改善率78.6%。结论 Axis内固定系统可提供及时、强有效的节段性固定,提高融合率,预防单纯减压融合术后早期失稳导致的高位脊髓损伤加重

关键词: 寰枢椎脱位, 枕颈融合, 内固定, Axis内固定系统

Abstract: Objective To explore effect of Axis internal fixation system while decompression and fusion for the treatment of timeworn atlantoaxial dislocation with incomplete spinal cord injury.Methods 29 cases of timeworn atlanto-axial dislocation with incomplete spinal cord injury underwent decompression fusion and Axis internal fixation with a 7～46 months (mean 20 months) flowing-up.ResultsAfter treatment, all patients got completed fusion, there was no deterioration of neurofunction, and rate of JOA scores increased was 78.6%.ConclusionAxis internal fixation system can provide immediately a rigid stability and maintain axial correction for the segment ahile decompression and fusion for the treatment of timeworn atlantoaxial deslocation with incomplete spinal cord injury.

Key words: atlantoaxial dislocation, decomperssion occipital cervical fusion, internal fixation, Axis internal fixation system