| 直视下寰枢椎椎弓根钉固定技术在上颈椎的应用 |
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| 引用本文： | 黎斐文,向宏富,杨缚龙,陈常华.直视下寰枢椎椎弓根钉固定技术在上颈椎的应用[J].吉首大学学报(自然科学版),2008,29(1):123-125. |
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| 作者姓名： | 黎斐文 向宏富 杨缚龙 陈常华 |
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| 作者单位： | （湘西自治州人民医院脊柱外科，湖南 吉首 416000） |
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| 摘 要： | 目的 探讨直视下寰枢椎椎弓根技术在上颈椎应用的可行性.方法 在全麻下对12例患者进行了寰枢椎椎弓根技术固定.术中在直视下行C1-C2置钉，复位固定.后路髂骨植骨.结果 24枚置钉均获得成功，复位固定满意，随访3至15月(平均4.2月)，螺钉无松动或断钉，无椎动脉和脊髓损伤，3至6月植骨融合.结论 直视下寰枢椎椎弓根钉技术在上颈椎的应用是安全可靠的，临床效果良好.
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| 关 键 词： | 寰椎 椎弓根钉 内固定 |
| 文章编号： | 1007-2985(2008)01-0123-02 |
| 修稿时间： | 2007年11月29 |
The Application of C1-C2 Pedicle Screw Instrument by Direct Vision in Atlas |
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| LI Fei-wen,XIANG Hong-fu,YANG Fu-long,CHEN Chang-hua.The Application of C1-C2 Pedicle Screw Instrument by Direct Vision in Atlas[J].Journal of Jishou University(Natural Science Edition),2008,29(1):123-125. |
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| Authors: | LI Fei-wen XIANG Hong-fu YANG Fu-long CHEN Chang-hua |
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| Institution: | (Department of Spinal Surgery,The People's Hospital of XiangXi Autonomous District, Jishou 416000，Hunan China) |
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| Abstract: | objective:To explore the surgical feasibility of C1-C2 pedicle screw instrument by direct vision in atlas.Method:12 adult patients with atlantoaxial instability were treated with C1-C2 pedicle screws instrument by direct vision under general anesthesia.Bone graft were administered in all patients.Result:A total of 24 screws were successfully placed in atlas.All patients were followed up from 3 to 15 months,averaged 4.2 months.No cases of implant failure were observed,and there were no neural or vascular injure.All patients had a bone fusion on radiographs after three or six months.Conclusion:The application of C1-C2 pedicle screw instrument by direct vision in atlas is safe,and the clinical result is satisfactory. |
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| Keywords: | atlas pedicle screw internal fixation |
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