Effects of posterior total laminectomy decompression and reduction with pedicle screws for lower cervical fracture and dislocation
- VernacularTitle:后路减压复位椎弓根螺钉内固定治疗难复性下颈椎骨折脱位的疗效评价
- Author:
Jidong GUO
;
Shuxun HOU
;
Yamin SHI
- Publication Type:Journal Article
- Keywords:
cervical spine,fracture and dislocation,pedicle screw,internal fixation
- From:
Orthopedic Journal of China
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To evaluate the indications,efficacy and safety of posterior total laminectomy decompression and reduction with pedicle screws for lower cervical fracture and dislocation.[Method]From June 2005 to February 2008,41 patients with lower cervical fracture and dislocation received posterior total laminectomy decompression and reduction with pedicle screws.The patients(M=32,F=9)were 22-47 years old,with an average of 33.5 years old.There were 38 fresh and 3 old injuries.[Result]All the patients were operated on successfully without severe complications during perioperative period.Totally 252 (89%) screws were exactly implanted in the cervical pedicle.The everage surgery time was 3.1 h (2.5-4 h).The average blood loss during the operation was 460 ml (250-950 ml). The average time of follow-up was 27.5 months(24-36 months). All patients had satisfiactory reduction and no internal fixator failure.Thirty-two patients who were followed up for more than 24 months had complete fusion. The motor and sensory score (ASIA92) were improved significantly at 2 years follow-up(P
