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題 名 | Odontoid Fracture Treated by Anterior Screw Fixation=前螺釘固定術治療齒狀突骨折 |
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作 者 | 高振興; 邱仲慶; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:3 民87.05-06 |
頁 次 | 頁180-186 |
分類號 | 416.26 |
關鍵詞 | 前螺釘固定術; 齒狀突骨折; Anterior odontoid screw; Odontoid screw fixation; Odontoid fracture; |
語 文 | 英文(English) |
中文摘要 | 齒狀突骨折是常見之外傷疾病,有多種不同治療方式。沒有合適之治療有很高的 機會造成骨不融合,所以有人主張早期後位內固定併骨融合。然而這項治療會減少頸部旋轉 功能,因此由前方直接固定骨折處就被大家考慮。作者共為十七位患者施行以前螺釘固定術 治療齒狀突骨折。包括十四例車禍外傷,三例跌落意外。我們統計及評估了患者之骨融合及 預後。十六位患者為第二型齒狀突骨折,一位為淺型第三型骨折。十例患者以一支螺釘固定 ,七例以二支螺釘固定。其中十五例患者得到良好骨融合及預後,一例不融合及一例假性關 節。 我們檢查了 14 例患者頸椎之旋轉功能,2 位略為影響,12 例沒有影響。追蹤時間自 三十個月至七十六個月不等,平均五十一個月。齒狀突螺釘固定術是一項需要技巧的手術, 可用來治療齒狀突骨折。這項手術優點為不需要關節固定,所以不影響頸椎活動,而且手術 後多數僅需要簡單之外固定。 |
英文摘要 | While odontoid fractures are common injuries, disagreement exists regarding treatment. Some authors claim a high percentage of nonunion after various conservative treatment methods and have therefore recommended early posterior fixation and fusion. This, however, can result in significant limitation of head and neck rotation by approximately 47 °. Therefore, it has been recommended that a more direct approach to the treatment of this type of fracture be taken. Seventeen cases of odontoid fracture treated by the author with anterior screw fixation between October 1991 and August 1995 were included in the present study, 14 of them from traffic accidents, 3 from accidental falls. The modality of bone union and patient's outcome were evaluated. Sixteen cases had Anderson D'Alonzo Type Ⅱ fractures and the remaining case had a shallow Type Ⅲ fracture. In 10 of these cases the fracture was fixed with one screw and in 7 it was fixed with two screws. Good union was achieved in 15 cases, but one case showed nonunion and another one pseudoarthrosis. The follow-up period was from 30 to 76 months, with a mean of 51 months. Odontoid screw fixation is a technically demanding procedure that can be used in the treatment of odontoid fractures. This method did not diminish post-treatment cervical motion as it did not require an arthrodesis, and most patients needed only a minimal amount of postoperative external immobilization. |
本系統中英文摘要資訊取自各篇刊載內容。