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通过肌际方法进行后部缩小和临时固定,以治疗牙骨折

Zhenji Xu¹, Ji Wu¹, Haibin Wang¹

¹Department of Orthopedics, Shanghai Changzheng Hospital, Naval Medical University, Shanghai , People's Republic of China.

Operative neurosurgery (Hagerstown, Md.)

|October 25, 2024

概括

通过肌肉间方法进行后部缩小和临时固定 (PRTF),有效地治疗牙骨折,在移除仪器后保持C1-C2旋转. 这种最少的侵入性方法提供了一个可行的救援选项,具有良好的患者结果.

科学领域:

整形外科手术整形外科手术
脊柱外科手术脊柱外科手术
创伤学创伤学创伤学

背景情况:

后部atlantoaxial聚变的odontoid骨折可以导致C1-C2运动损失.
通过开放式方法的后部减速和临时固定 (PRTF) 可以避免这种运动损失.
使用肌肉间方法的PRTF在新鲜的牙骨折中对C1-C2旋转的影响尚未得到充分证实.

研究的目的:

通过对骨骨折的肌肉间方法评估PRTF后C1-C2旋转运动的保存.
评估与这种微创技术相关的临床结果和并发症.

主要方法:

通过肌肉间方法治疗PRTF的31名患有牙骨折的患者的回顾性审查.
收集的数据包括手术细节,行走时间,并发症和功能评分 (JOA,VAS).
在移除仪器后1个月测量C1-C2旋转.

主要成果:

所有31名患者都实现了骨折愈合和仪器仪表移除.
移除后的C1-C2旋转平均为35.6°±4.8°,患者满意度得到改善.
没有注意到JOA或VAS得分的显著变化;没有发生骨关节炎或术后并发症.

结论:

通过肌肉间方法进行PRTF是当前固定失败或禁忌时,适合牙骨折的救援治疗.
这种最少的侵入性技术有效地保留了大西洋轴心复合体的旋转功能.
该程序显示出良好的临床结果和较低的并发症率.

关键词:

在C1-C2中,使用C1-C2.肌肉间的方法肌肉间的方法形骨折的骨折是指形骨折的骨折.运动范围的范围.旋转旋转旋转旋转暂时固定暂时固定

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