中国临床医学2017，Vol.24Issue(5)：736-739,4.DOI:10.12025/j.issn.1008-6358.2017.20170367
巧用腰椎融合器结合后路固定治疗寰枢椎脱位的初步尝试
Combination of lumbar peek cage with posterior fixation in the treatment of atlantoaxial dislocation: a preliminary report
曹渊武 1陈子贤 1蒋淳 1冯振洲 1姜晓幸1
作者信息
- 1. 复旦大学附属中山医院骨科,上海200032
- 折叠
摘要
Abstract
Objective:To initially evaluate the effect of the lumbar peek cage combining with posterior fixation as the treatment of atlantoaxial dislocation.Methods:Between June 2015 to Feburary 2016,4 patients with atlantoaxial instability accepted the surgery of posterior fixation and atlantoaxial joint distraction.The lumbar peek cage was used to distract the C1-C2 facet joint at the first time during this procedure.Pre-and post-operative VAS,JOA,cervical deformity and bone fusion were calculated and analyzed prospectively.Results:All of four patients have finished a twelve months follow up.The VAS and JOA at pre-operative and 12 months follow up was 8±0.82,13±5.42 and 1±0.82,16±1.41,respectively.The VAS and JOA after surgery were better than those before surgery.There were no intraoperative or postoperative vascular,neurological,or infection-related complications.The 3D CT at 12 months follow up showed that all of four patients achieved solid fusion.Conclusions:Compared with the existing distraction methods,the use of lumbar peek cage not only has no influence on the operational effect,but also decreases the complication and the deficiency when it is used to treat the atlantoaxial joint distraction.Besides those advantages,the use of peek cage is also easy to spread.关键词
寰枢椎脱位/后路固定/腰椎聚醚醚酮融合器/关节突撑开Key words
atlantoaxial dislocation/posterior fixation/lumbar peek cage/facet distraction分类
医药卫生引用本文复制引用
曹渊武,陈子贤,蒋淳,冯振洲,姜晓幸..巧用腰椎融合器结合后路固定治疗寰枢椎脱位的初步尝试[J].中国临床医学,2017,24(5):736-739,4.
