Treatment of atlantoaxial instability with C1-C2 posterior transarticular screw fixation / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 135-137, 2008.
Article
de Zh
| WPRIM
| ID: wpr-323131
Bibliothèque responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the technique of C1-C2 transarticular screw fixation for atlantoaxial instability or dislocation.</p><p><b>METHODS</b>Among 14 patients with atlantoaxial instability, 10 were male and 4 patients were female, with an average age of 38.6 years ranging from 17 to 62 years. All patients were treated by internal fixation with transarticular screws.</p><p><b>RESULTS</b>There were 28 screws applied in 14 patients. All patients were followed up. The average follow-up period was 16 months (range, 9 to 35 months). The postoperative JOA score was ranging from 13.8 to 15.8 with the average score of (14.50 +/- 0.66) and the improved rate of (76.12 +/- 4.94)%. No spinal injury and vertical artery injury was found and osseous fusion was completed in all patients.</p><p><b>CONCLUSION</b>The technique of C1-C2 transarticular screw fixation is one of the best treatments for atlantoaxial instability. Without the help of structural bone graft and aided internal fixation, morselized cancellous bone graft can acquire effective osseous fusion.</p>
Texte intégral:
1
Base de données:
WPRIM
Sujet principal:
Anatomopathologie
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Articulation atlantoaxoïdienne
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Chirurgie générale
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Thérapeutique
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Vis orthopédiques
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Imagerie diagnostique
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Radiographie
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Tomodensitomètre
/
Études de suivi
/
Fixateurs internes
Type d'étude:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limites:
Adolescent
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Adult
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Female
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Humans
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Male
Langue:
Zh
Journal:
China Journal of Orthopaedics and Traumatology
Année:
2008
Type de document:
Article