【摘要】 目的:探讨陈旧性颈椎脱位并关节突交锁手术策略。方法:14例陈旧性颈椎脱位并关节突交锁患者,先前路松解瘢痕等阻碍复位因素,之后进行后路手术解除后方交锁与脊髓压迫并植骨固定,再进行前路植骨固定。结果:14例全部获得随访,无骨不愈合,脱位椎体复位良好,颈椎生理曲度、脱位椎间高度、颈椎的稳定性良好。术后颈部酸痛症状消失;脊髓神经功能按Francel分级,均达E级。结论:前-后-前路I期联合手术策略是一种治疗陈旧性颈椎脱位并关节突交锁稳妥、安全、彻底、有效的方法。更多还原

【Abstract】 Objective To explore the operational strategies of treatment of old cervical dislocation combined with facet dislocation. Methods Fourteen patients with old cervical dislocation combined with facet dislocation were treated surgically.Firstly,all cases were given anterior operation to dissolve such elements as cicatrices which would interfere with restoration.Then posterior approach was used for the decompression of the rear compression of the facet and spinal cord,and fixation with bone grafting was conducted as well,which was followed with an anterior approach. Results All of the fourteen cases were given a follow-up visit.All had complete reduction with proper restoration of cervical dislocation.The normal intervertebral height and lordosis and stability of centrum were maintained.The symptom of aches on neck disappeared.The neuro-function of the spinal cord was graded according to Francel score.And all of them reached grade E. Conclusion Combined anterior and posterior and anterior strategy is a stable,effective,complete and safe approach.更多还原