[1]禚汉杰 柴旭斌 周英杰△.序贯疗法治疗下颈椎骨折脱位的近期临床疗效[J].中国中医骨伤科杂志,2021,29(08):48-50.
　ZHUO Hanjie CHAI Xubin ZHOU Yingjie.Short-Term Clinical Efficacy of Sequential Therapy in theTreatment of Lower Cervical Spine Fracture and Dislocation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(08):48-50.
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序贯疗法治疗下颈椎骨折脱位的近期临床疗效()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年08期
页码:
48-50
栏目:
临床报道
出版日期:
2021-08-15

文章信息/Info

Title:
Short-Term Clinical Efficacy of Sequential Therapy in theTreatment of Lower Cervical Spine Fracture and Dislocation
文章编号:
1005-0205(2021)08-0048-03
作者:
禚汉杰1 柴旭斌1 周英杰1△
1河南省洛阳正骨医院(河南省骨科医院)(河南 洛阳,471002)
Author(s):
ZHUO Hanjie1 CHAI Xubin1 ZHOU Yingjie1△
1Luoyang Orthopedic-Traumatological Hospital of Henan Province,Luoyang 471002,Henan China.
关键词:
颈椎骨折脱位;  序贯疗法;  临床疗效
Keywords:
cervical fracture and dislocation;  sequential therapy;  clinical efficacy
分类号:
R683.2
文献标志码:
B
摘要:
目的:探讨序贯疗法治疗下颈椎骨折脱位的近期临床疗效。方法:收集2015年1月至2019年12月收治的下颈椎骨折脱位需手术治疗的病例58例,所有患者术前均行CT、MRI、X线检查,根据患者骨折类型、椎间盘突出及脊髓压迫程度、小关节交锁状态、颈椎损伤程度等因素,选择合适的手术方案,比较所有患者术前、术后3个月及末次随访时颈椎JOA评分、颈部疼痛视觉模拟(VAS)评分和脊髓损伤ASIA分级情况。结果:所有手术均顺利完成,无严重并发症发生,所有患者随访时间6～24个月。术后3个月及末次随访时JOA评分较术前明显升高,VAS评分较术前明显降低,差异有统计学意义(P<0.01),58例合并脊髓损伤的患者ASIA分级除8例A级无明显变化外,其余均获得不同程度改善。结论:通过序贯疗法治疗下颈椎骨折脱位,可以快速恢复颈椎正常序列,并一期通过颈前入路完成颈椎序列的重建和脊髓的充分减压,可避免后路手术带来的一系列问题,减轻患者的痛苦,值得临床推广应用。
Abstract:
To investigate the short-term clinical efficacy of sequential therapy in the treatment of lower cervical spine fracture and dislocation.Methods: 58 cases who suffered from lower cervical spine fracture and dislocation in our spinal department and needed surgery were included from January 2015 to December 2019.All patients received preoperative CT, MRI and X-ray examinations.The appropriate surgical plan was selected according to factors such as the type of fracture, the degree of intervertebral disc herniation and spinal cord compression, the facet joint locking status, and the degree of cervical spine injury.The cervical JOA score,visual analogue scale(VAS)score, and spinal cord injury grade(according to ASIA)were compared among all patients before surgery, 3 months after surgery, and at the last follow-up.Results: All operations were successfully completed without serious complications, and all patients were followed up for 6 to 24 months.The JOA score at 3 months after surgery and the last follow-up was significantly higher than that before surgery, while the VAS score was significantly lower than that before surgery(P<0.01).Among the 58 patients with spinal cord injury, except for 8 patients who were ASIA grade A without any significant change, the rest were improved to varying degrees.Conclusion: Sequential therapy for the treatment of lower cervical fracture and dislocation can not only quickly and effectively restore the normal sequence of the cervical vertebra, but complete the reconstruction of the cervical sequence and the full decompression of the spinal cord through the anterior cervical approach in the first phase, which avoids a series of problems caused by posterior surgery and relieves the pain of patients.It is worthy of clinical promotion and application.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:河南省重点中医学科学术带头人基金培育项目(2100601)脊柱相关疾病古今文献整理研究(2018ZY2024)
△通信作者 E-mail:1099168230@qq.com
更新日期/Last Update: 2021-08-15