【摘 要】
：
目的 经颈、头半棘肌间隙手术入路治疗下颈椎骨折脱位的临床应用评价.方法 采用头、颈半棘肌间隙入路行下颈椎椎弓根螺钉固定手术12例，置入螺钉49枚，观察手术创伤和并发症发生情况.CT评估螺钉位置.结果 临床应用12例均顺利完成手术，术中颈、头半棘肌间隙易分离，创伤小，侧块、关节突外侧显露清晰，椎弓根螺钉植入方便，有4枚螺钉穿破管壁(4/49)，无置钉相关并发症发生.结论 经头、颈半棘肌肌间隙入路为神
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目的 经颈、头半棘肌间隙手术入路治疗下颈椎骨折脱位的临床应用评价.方法 采用头、颈半棘肌间隙入路行下颈椎椎弓根螺钉固定手术12例，置入螺钉49枚，观察手术创伤和并发症发生情况.CT评估螺钉位置.结果 临床应用12例均顺利完成手术，术中颈、头半棘肌间隙易分离，创伤小，侧块、关节突外侧显露清晰，椎弓根螺钉植入方便，有4枚螺钉穿破管壁(4/49)，无置钉相关并发症发生.结论 经头、颈半棘肌肌间隙入路为神经间平面，显露容易，创伤少，椎弓根螺钉置入方便，治疗下颈椎骨折脱位具有较好的临床可行性.
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