摘要
目的探索一种治疗复杂环枕部畸形的新手术方法。方法本组病例经ＣＴ三维成像和ＭＲＩ检查确诊，采用经尸体解剖证实的“枕下后外侧入路”方法治疗，同时行齿状突切除或枕下减压并枕颈植骨融合术。结果全组病例均获明显疗效，无病情加重或复发，３例半年后恢复工作。结论枕下后外侧入路能一次手术完成枕大孔区前后方减压并植骨融合固定，是治疗复杂环枕部畸形的具有确切疗效的手术方法。
Objective To report the treatment of six patients suffering from complex craniocervical junction (CCJ) malformation by transoccipitocervical posterolateral approach which is a new surgical method. Methods Transoccipitocervical posterolateral approach was confirmed feasible by anatomy of the body.Diagnosis was made sure CTthree dimensional image and MRI for every patient.All cases reaived odontoidectomy and suboccipital decompression and/or bone graft. Results All patients showed favorable outcome without deterioration or recurrence. Six patients were followed up for 1510 monthes. All patients showed marked progressive improvement of neurological disturbances and three of them resumed work half a year after operation. Conclusion Transoccipitocervical posterolateral approach is a new surgical proodure by which anterior and posterior decompression of foramen magnun aria and bone graft (posterior craniocervical stabilization) could be fulfilled during one operation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1999年第7期435-437,共3页
Chinese Journal of Surgery
关键词
寰枕关节
枕下后外侧入路
环枕部畸形
术式
tlantooccipital jointAbnormalitiesTransoccipitocervical posterolateral approach
