| 寰枢椎后路固定技术研究进展 |
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投稿时间：2007-06-14
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| 期刊信息：《中国骨伤》2007年，第20卷，第8期，第578-580页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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| 中文摘要:寰枢椎不稳是由炎症、创伤、先天性疾病、肿瘤或退变引起的脊柱生物力学异常改变,常常需要手术固定。最初的后路钢丝固定技术操作安全,但术后需要较长时间外固定制动,并且不融合率高。螺钉固定技术(经关节螺钉、寰枢椎侧块和椎弓根钉技术)融合率高、不需要坚强的术后制动,但是其技术要求高。枢椎椎板螺钉能坚强固定寰枢椎复合体,可作为枢椎椎弓根螺钉的补充固定技术。文中将复习寰枢椎复合体后路固定的发展史和各种技术,同时讨论各自的成功率及其并发症。 |
| 【关键词】寰枢关节 脊柱融合术 骨折固定术,内 |
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| Progress of the techniques of posterior atlanto-axial fixation |
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| ABSTRACT Instability of the atlanto-axial complex resulted from inflammatory,traumatic,congenital,neoplastic or degenerative disorders and required surgical stabilization.Initial dorsal wiring technique was allowed to a safe fixation,but required rigid external immobilization and associated with high fusion failure rate.Rigid screw fixation techniques including transarticular screw fixation,atlanto-axial lateral mass and pedicle screw fixation could offer a high fusion rate and less need of rigid immobilization but more operation skill was demanded.Crossing C2 laminar screws provided a rigid fixation and could be used as a supplemental fixation method to C2 pedicle screw fixation technique.The history and techniques of dorsal fixation of the atlanto-axial complex were reviewed,and the success rate and complications of each were discussed. |
| KEY WORDS Atlanto-axial joint Spinal fusion Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 唐向盛,谭明生.寰枢椎后路固定技术研究进展[J].中国骨伤,2007,20(8):578~580 |
| 英文格式: | TANG Xiang-sheng,TAN Ming-sheng.Progress of the techniques of posterior atlanto-axial fixation[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(8):578~580 |
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