摘要
难复性寰枢椎脱位治疗是高难度、高风险的领域,难复性寰枢椎患者往往合并不同程度脊髓损伤症状或体征,且X线片动态位和术前颅骨牵引均未能获得复位,手术治疗为唯一治疗方案。手术治疗以松解、减压、复位和内固定为原则,目前手术治疗方案以前路松解结合前路或后路内固定为主,绝大多数手术疗效满意,本文就难复性寰枢椎脱位手术治疗的进展作一综述。
The treatment of irreducible atlantoaxial dislocation is of much difficulty and high risk. Patients present signs and symptoms of various degrees of myelopathyor spinal eord injury, and these dislocations are unable to be reduced at X-ray radiograph dynamic position as well as preoperative skull traction. Therefore, surgery is the only treatment. Based on principles of relaxation, decompression and fusion with internal fixation, the main surgical program is one-stage transoml release and posterior or transoml fusion by pediele screw instrumentation, and most of the surgical results are satisfaetory. This article is to review the treatment of irredueible atlantoaxial dislocation.
出处
《现代生物医学进展》
CAS
2012年第30期5957-5961,共5页
Progress in Modern Biomedicine
关键词
寰椎
枢椎
寰枢关节
外科治疗
Atlas
Axis
Atlantoaxial joint
Surgical trcatmvnt
