RESUMO
We describe a method for decompression and fusion of the occipitocervical junction in cases of atlantoaxial subluxation. Use of an implanted steel rectangle provides immediate rigid internal fixation, permitting early mobilization with minimal external support.
Assuntos
Fixação Interna de Fraturas/métodos , Doenças da Coluna Vertebral/cirurgia , Fusão Vertebral/métodos , Adolescente , Idoso , Artrite Reumatoide/complicações , Criança , Humanos , Pessoa de Meia-Idade , Doenças da Coluna Vertebral/etiologia , Coluna Vertebral/anormalidades , Coluna Vertebral/cirurgiaAssuntos
Idoso/psicologia , Atitude Frente a Morte , Satisfação Pessoal , Feminino , Humanos , MasculinoRESUMO
A new and simple method for the operative treatment of atlanto-axial instability in children is described. The technique involves a metal rectangle wired in place between the occiput and cervical spine to act as an internal fixation device. Onlay bone grafts subsequently produce bony fusion. A synchronous decompression of the cervical canal can be performed and there is no need for complex or prolonged external fixation.
Assuntos
Articulação Atlantoaxial , Placas Ósseas , Fios Ortopédicos , Instabilidade Articular/cirurgia , Dispositivos de Fixação Ortopédica , Adolescente , Articulação Atlantoaxial/diagnóstico por imagem , Criança , Feminino , Humanos , Luxações Articulares/cirurgia , Instabilidade Articular/diagnóstico por imagem , Masculino , Radiografia , TomografiaRESUMO
Symptomatic and functional assessments have been made on a number of patients with a variety of involuntary movement disorders. Difficulties of assessment and their relevance to outcome are discussed. Almost all groups showed a substantial symptomatic improvement but functional improvement was less pronounced.