【摘要】 目的探讨Halo-vest外固定在治疗上颈椎损伤中的临床疗效。方法回顾性分析2001年3月—2010年5月采用Halo-vest外固定或联合手术治疗上颈椎损伤患者61例的临床资料,根据Mayo(McGrory)颈椎创伤评分标准进行评价。结果本组单纯行Halo-vest外固定11例,联合手术治疗50例。手术无相关并发症。全部病例获得6～37个月的随访,平均21个月。根据Mayo(McGrory)评分标准,优29例,良25例,可7例,优良率88.6%。结论 Halo-vest对上颈椎损伤的固定作用安全有效,依据损伤类型选择单独使用或联合手术治疗可获得满意的治疗效果。更多还原

【Abstract】 Objective To investigate the efficacy of Halo-vest external fixation in upper cervical trauma.Methods Sixty-one cases with upper cervical trauma from March 2001 to May 2010 were reviewed retrospectively.The patients received Halo-vest external fixation,some of who also underwent surgical treatment.The McGrory score(post-traumatic neck score)was used to evaluate the outcome.Results Eleven cases received Halo-vest external fixation only,and other fifty cases were treated with the combination of Halo-vest external fixation and surgery.All the patients were followed up.The follow-up duration ranged from 6 to 37 months,with the mean of 21 months.According to the McGrory score,there were 29 excellent cases.25 cases were good and 7 cases were fair.The excellence was 88.6%.Conclusion It is safe and effective to treat upper cervical trauma with Halo-vest external fixation.According to the type of injury,we can choose the external fixation only or the combination of the external fixation and surgery.更多还原