直视下寰枢椎椎弓根钉固定技术在上颈椎的应用

journal6 ›› 2008, Vol. 29 ›› Issue (1): 123-125.

直视下寰枢椎椎弓根钉固定技术在上颈椎的应用

（湘西自治州人民医院脊柱外科，湖南吉首 416000）

出版日期:2008-01-25 发布日期:2012-05-26
作者简介:黎斐文(1968-)，湖南慈利人，湘西自治州人民医院脊柱外科副主任医师，硕士，主要从事脊柱外科研究.
基金资助:
湖南省教育厅科学研究项目(05C136)

The Application of C1-C2 Pedicle Screw Instrument by Direct Vision in Atlas

(Department of Spinal Surgery,The People's Hospital of XiangXi Autonomous District, Jishou 416000，Hunan China)

Online:2008-01-25 Published:2012-05-26

摘要/Abstract

摘要：目的探讨直视下寰枢椎椎弓根技术在上颈椎应用的可行性.方法在全麻下对12例患者进行了寰枢椎椎弓根技术固定.术中在直视下行C1-C2置钉，复位固定.后路髂骨植骨.结果 24枚置钉均获得成功，复位固定满意，随访3至15月(平均4.2月)，螺钉无松动或断钉，无椎动脉和脊髓损伤，3至6月植骨融合.结论直视下寰枢椎椎弓根钉技术在上颈椎的应用是安全可靠的，临床效果良好.

关键词： 寰椎, 椎弓根钉, 内固定

Abstract: objective:To explore the surgical feasibility of C1-C2 pedicle screw instrument by direct vision in atlas.Method:12 adult patients with atlantoaxial instability were treated with C1-C2 pedicle screws instrument by direct vision under general anesthesia.Bone graft were administered in all patients.Result:A total of 24 screws were successfully placed in atlas.All patients were followed up from 3 to 15 months,averaged 4.2 months.No cases of implant failure were observed,and there were no neural or vascular injure.All patients had a bone fusion on radiographs after three or six months.Conclusion:The application of C1-C2 pedicle screw instrument by direct vision in atlas is safe,and the clinical result is satisfactory.

Key words: atlas;pedicle , screw;internal fixation

黎斐文, 向宏富, 杨缚龙, 陈常华. 直视下寰枢椎椎弓根钉固定技术在上颈椎的应用[J]. journal6, 2008, 29(1): 123-125.

LI Fei-Wen, XIANG Hong-Fu, YANG Fu-Long, CHEN Chang-Hua. The Application of C1-C2 Pedicle Screw Instrument by Direct Vision in Atlas[J]. journal6, 2008, 29(1): 123-125.