经皮显微脊柱内镜下松解复位植骨内固定治疗难复性C1、2脱位

• 作 者: 池永龙;徐华梓;林焱;黄其杉;毛方敏;王向阳;倪文飞;
• 机 构: 温州医学院附属二院,温州,325027,中国
• 出 处: 2007SICOT国际矫形外科学术会议(SICOT-SIROT SHANGHAI CONGRESS 2007)
• 发表日期: 2007年期

　　Objectives:To evaluate the safety and efficacy of one-stage percutaneous microendoscopic anterior release,transarticular fixation and fusion to reduce and stabilize for irreducible atlantoaxial dislocation.Methods:Eight consecutive patients were treated by percutaneous microendoscopic anterior release,transarticular C1~ C2 fixation and bone graft fusion.The mean age was 32.7 years (range,2852 years).The pathology included odontoid dysplasia in 3 patients,chronic odontoid fractures in 2,odontoid absence in 1,fasilar impression in 1 and malunion of odontoid fracture in 1.The classification of disability was that proposed by Symon and Lavender.There are Moderate disability in 4,Severe non-bedbound in 3,and Severe bedridden in 1.