【摘要】 背景:对于Hangman骨折,采用颈前路融合钢板置入内固定和后路C2椎弓根、C3侧块钉棒置入内固定,目前存在争议。目的:比较颈前路融合钢板置入内固定和后路C2椎弓根、C3侧块钉棒置入内固定治疗Hangman骨折的临床效果。方法:将26例Hangman骨折患者按随机数字表法分为2组,分别行颈前路减压植骨钛合金钢板置入内固定与后路C2椎弓根、C3侧块钉棒置入内固定治疗。结果与结论:与后路C2椎弓根、C3侧块钉棒置入内固定治疗比较,颈前路减压植骨钛合金钢板置入内固定治疗手术时间更短,术中出血与术后引流量更少(P<0.05)。两组术中、术后并发症差异无显著性意义。提示与颈椎后路手术内固定相比,颈椎前路融合植入物内固定手术治疗Hangman骨折手术时间短,术中出血量少,术后颈椎功能恢复良好。更多还原

【Abstract】 BACKGROUND:Posterior C2-3 pedicle screws fixation have been used in internal fixation of Hangman’s fracture.C2-3 anterior fusion and plate fixation has been used recently.OBJECTIVE:To evaluate the clinical effects of anterior versus posterior C2-3 pedicle screws on Hangman’s fracture.METHODS:Twenty-six patients with Hangman’s fracture were randomized into two groups,treated with anterior decompression bone fusion plus titanium plate implantation or posterior C2 pedicle screw plus C3 lateral mass screw-rod implantation.RESULTS AND CONCLUSION:The operation time,intraoperative bleeding and postoperative drainage were shorter or less in anterior cervical operation as compared with in posterior cervical operation(P < 0.05).There were no differences in intraoperative and postoperative complications between the two groups.The results demonstrated that C2-3 anterior fusion and plate fixation is a better method to treat Hangman’s fracture,maintaining excellent reduction and achieving stability,compared with C2-3 posterior pedicle screws fixation.更多还原