摘要:目的评价应用Solis椎间融合器治疗Ⅱ型及Ⅱa型Hangman骨折的临床疗效。方法采用经颈前路Solis椎间融合器植入治疗Ⅱ型及Ⅱa型Hangman骨折患者10例,记录术前及末次随访的创伤后颈椎临床评分、颈部疼痛的VAS评分、枢椎移位及成角数据,行统计学分析。结果融合节段及骨折部位均于3个月后骨性融合。术后颈椎临床评分提高、颈部疼痛VAS评分降低、枢椎成角及枢椎移位均较前改善(P均〈0.05)。均无手术并发症。结论应用Solis椎间融合器治疗Ⅱ型及Ⅱa型Hangman骨折具有简化手术、减少创伤、固定稳妥、融合率高等优点,临床疗效满意。
关键词:颈椎 关节融合术 hangman骨折 脊柱骨折 内固定器
单位:中山大学附属第一医院 广州510700
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