ЗАДНЯЯ ИНСТРУМЕНТАЛЬНАЯ ФИКСАЦИЯ ШЕЙНОГО ОТДЕЛА ПОЗВОНОЧНИКА У ДЕТЕЙ: ОПЫТ ЛЕЧЕНИЯ

Q3 Medicine

Hirurgia Pozvonochnika Pub Date : 2017-12-30 DOI:10.14531/SS2017.4.27-31

Ольга Михайловна Павлова, Александр Владимирович Бурцев, Александр Вадимович Губин, Сергей Олегович Рябых

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引用次数: 3

Abstract

Objective. To prove the safety and technical and mechanical validity of posterior screw fixation of the cervical spine in children and to compare different types of the cervical spine fixation based on our own treatment experience and literature data. Material and Methods . A retrospective analysis of 47 patients under the age of 18 years who underwent various types of posterior instrumental fixation of the cervical spine was performed. Level of Evidence – III. Results . The duration of postoperative follow-up varied from 2 months to 6.6 years (mean, 2.1 ± 1.6 years). A total of 186 screws were placed, the number of screws inserted in one patient reached 10 (mean, 3.9 ± 2.4). Postoperative complications were observed in 5 (10.6 %) patients. Conclusion . Posterior screw fixation of the cervical spine provides biomechanically reliable stabilization of the segment, helps to achieve good correction of deformity and reduction of dislocations, shortens the period of rehabilitation, and is a safe method of surgical treatment in children.

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儿童颈椎后器械固定:治疗经验

目标。为了证明儿童颈椎后路螺钉固定的安全性和技术力学有效性，并结合自身的治疗经验和文献资料对不同类型的颈椎固定进行比较。材料和方法。回顾性分析47例18岁以下接受不同类型颈椎后路器械固定的患者。证据等级- III。结果。术后随访时间从2个月到6.6年不等(平均2.1±1.6年)。共置入186枚螺钉，每例患者置入螺钉10枚(平均3.9±2.4枚)。术后出现并发症5例(10.6%)。结论。颈椎后路螺钉固定提供可靠的生物力学稳定节段，有助于实现良好的畸形矫正和复位脱位，缩短康复期，是儿童手术治疗的一种安全方法。

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来源期刊

Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

7 weeks