伴有顱頸交界結(jié)構(gòu)畸形的寰樞椎脫位后路手術(shù)策略進(jìn)展
發(fā)布時(shí)間:2018-08-29 16:59
【摘要】:正顱頸交界區(qū)域包括枕骨至C_(2~3)間盤水平,該區(qū)域可伴有相關(guān)結(jié)構(gòu)畸形,包括顱底凹陷、寰椎枕骨化、游離齒突、C_(2~3)先天融合、寰椎前弓和(或)后弓先天性分裂等骨性結(jié)構(gòu)畸形,而骨性結(jié)構(gòu)的畸形往往合并有椎動脈的畸形~([1])?蓮(fù)性寰樞椎脫位和不可復(fù)性寰樞椎脫位經(jīng)過前路松解、減壓都需要后路融合內(nèi)固定術(shù)~([2])。寰樞椎后路固定技術(shù)可分為六類,Gallie、Brooks技術(shù)、椎板夾技術(shù)、Magerl經(jīng)關(guān)節(jié)螺釘技術(shù)、釘板技術(shù)
[Abstract]:The anterior craniocervical junction includes the occipital bone to the level of C _ (2F3) intervertebral disc. The region may be accompanied by associated structural deformities, including skull base depression, atlantooccipital ossification, congenital fusion of free odontoid process C2F3, congenital cleavage of anterior and / or posterior arch of atlas, and other bone structural deformities. The deformities of bone structures are often associated with vertebral artery deformities ~ (1). After anterior decompression, posterior fusion and internal fixation are needed for the reducible atlantoaxial dislocation and irreducible atlantoaxial dislocation. Posterior atlantoaxial fixation techniques can be divided into six categories: Gallieau Brooks technique, laminar clamp technique, Magerl transarticular screw technique and nail plate technique.
【作者單位】: 桂林醫(yī)學(xué)院附屬醫(yī)院脊柱外科;南方醫(yī)科大學(xué)珠江醫(yī)院脊柱外科;
【分類號】:R687.3
[Abstract]:The anterior craniocervical junction includes the occipital bone to the level of C _ (2F3) intervertebral disc. The region may be accompanied by associated structural deformities, including skull base depression, atlantooccipital ossification, congenital fusion of free odontoid process C2F3, congenital cleavage of anterior and / or posterior arch of atlas, and other bone structural deformities. The deformities of bone structures are often associated with vertebral artery deformities ~ (1). After anterior decompression, posterior fusion and internal fixation are needed for the reducible atlantoaxial dislocation and irreducible atlantoaxial dislocation. Posterior atlantoaxial fixation techniques can be divided into six categories: Gallieau Brooks technique, laminar clamp technique, Magerl transarticular screw technique and nail plate technique.
【作者單位】: 桂林醫(yī)學(xué)院附屬醫(yī)院脊柱外科;南方醫(yī)科大學(xué)珠江醫(yī)院脊柱外科;
【分類號】:R687.3
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