[1]欧阳光,徐海涛,陈治标,等.颈枕融合术治疗复杂颅颈交界区畸形的疗效分析[J].中国临床神经外科杂志,2018,(10):644-647.[doi:10.13798/j.issn.1009-153X.2018.10.002]
 OUYANG Guang,XU Hai-tao,CHEN Zhi-biao,et al.Curative effect of cervio-occipital fusion on complex craniocervical junction malformation[J].,2018,(10):644-647.[doi:10.13798/j.issn.1009-153X.2018.10.002]
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颈枕融合术治疗复杂颅颈交界区畸形的疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年10期
页码:
644-647
栏目:
论著
出版日期:
2018-10-25

文章信息/Info

Title:
Curative effect of cervio-occipital fusion on complex craniocervical junction malformation
文章编号:
1009-153X(2018)10-0644-04
作者:
欧阳光徐海涛陈治标黄书岚吴立权朱晓楠陶 祥
430060 武汉,武汉大学人民医院神经外科(欧阳光、徐海涛、陈治标、黄书岚、吴立权、朱晓楠、陶 祥)
Author(s):
OUYANG Guang XU Hai-tao CHEN Zhi-biao HUANG Shu-lan WU Li-quan ZHU Xiao-nan TAO Xiang.
Department Of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
颅颈交界区畸形颈枕融合术寰枢关节脱位疗效
Keywords:
Craniocervical junction malformation Cervico- occipital fusion Atlantoaxial dislocation Curative effect
分类号:
R 742.8; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.10.002
文献标志码:
A
摘要:
目的 探讨颈枕融合术治疗复杂颅颈交界区畸形的疗效。方法 回顾性分析2012年2月至2018年2月武汉大学人民医院神经外科行枕颈融合术治疗的23例复杂颅颈交界区畸形的临床资料。3例行经口齿状突切除+后路枕颈固定融合术,20例行寰枢椎复位+后颅窝减压+后路枕颈固定融合术。结果 术后2周齿状突与钱氏线距离、日本骨科协会评分、延髓-脊髓角、寰齿间距较术前均明显改善(P<0.05)。23例术后随访半年至5年,均未出现关节松动,内固定及植骨均较为牢靠;复查头颈部MRI均示脊髓压迫明显减轻,寰枕关节复位良好,内固定固定良好。结论 颈枕融合术治疗复杂颅颈交界区畸形是一种安全且有效的方式。
Abstract:
Objective To investigate the curative effect of cervico-occipital fusion on complex craniocervical junction malformation (CCJM). Methods Of 23 patients with CCJM undergoing cervico-occipital fusion in our department from February, 2012 to February, 2018, 3 were treated by odontoid resection and posterior cervico-occipital fixation and 20 were treated by atlantoaxial reposition, posterior cranial fossa decompression and posterior cervico- occipital fixation. The efficacy and safety of the surgery were analyzed. Results The distance between odontoid and Chamberlain line, the Japanese Orthopedic Association (JOA) score, the cervico-medullary angle, and the atlantoodontoid interval were significantly improved after the operation compared to those before the operation (P<0.05). These 23 patients were followed up from a half to 5 years after the operation. No joint loosening were observed and the internal fixation or bone graft were reliable in all the patients. Conclusion Cervico- occipital fusion is a safe and effective surgical method to treat CCJM.

参考文献/References:

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[1]郭 恒 孙 兵 李 敏等.颅颈交界区畸形后路固定术后呼吸骤停1例[J].中国临床神经外科杂志,2021,26(12):976.[doi:10.13798/j.issn.1009-153X.2021.12.030]

备注/Memo

备注/Memo:
通讯作者:徐海涛,E-mail:xuhaitaorenmin@163.com
更新日期/Last Update: 2018-09-30