颈椎前路内固定失败翻修一例报告(英文)

第一作者:陈志龙

2012-05-18 点击量:839   我要说

陈志龙 蔡林 平安松 张刚刚 任斌 鲍冲

Objective  To analyse the causes of the failure and the surgical approach of the revision after a failed anterior cervical internal fixation in 1 case. Methods  Loose screws and steel plates were removed first. The decompression of the anterior cervical spinal cord was conducted. Afterwards a titanium mesh and a steel plate were again implanted for fixation. Finally, posterior screw-rod fixation system was employed to strengthen the fixation. Results  The cervical spinal cord was decompressed. The height of cervical vertebrae and the physiological curve were restored in general. According to the American Spine Injury Association (ASIA) standard, the function of cervical spinal cord was recovered from A preoperatively to C postoperatively 2 months after the surgery. Conclusions  Primary anterior-posterior operation is a comparatively good choice for the cervical fracture and dislocation with spinal cord injury. The revision surgery should decompress the cervical spinal cord completely and restore the height of cervical vertebra and the physiological curve.
 

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