MEDLINE/PubMed Journal Browser Search

Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

Title: [The simple posterior operation for different types of malformations in the craniocervical junction with atlantoaxial dislocation].
Author: Li YY, Li MH, Yu NZ.
Journal: Zhonghua Yi Xue Za Zhi; 2018 Dec 18; 98(47):3888-3891. PubMed ID: 30585036.
Abstract:
Objective: To explore the therapeutic effect of simple posterior reduction and decompression technique for different types of malformations in the craniocervical junction with atlantoaxial dislocation. Methods: The clinical data of 34 cases of different malformations in the craniocervical junction who were treated by the simple posterior internal fixation and decompression surgery in the department of neurosurgery of the first affiliated hospital of Nanchang University from March 2014 to March 2017 were analyzed retrospectively.In 34 cases, including 26 cases of basilar invagination with atlantoaxial dislocation (19 cases with atlanto occipital fusion, 12 cases with Chiari malformation, 13 cases with syringomyelia), 8 cases of odontoid malformation with atlantoaxial dislocation (2 cases with Chiari malformation, 1 case with flat skull base, 1 case with malformation of atlas). All the cases were performed Dynamic position X-ray film, CT scan and Three-dimensional reconstruction, and craniocervical MRI scan before the operation.The enlarged decompression of the occipital foramen, the fixation and fusion of the occipitocervical were performed during the operation, and the patients with cerebellar tonsillar hernia were performed decompression of the occipital small bone window. Results: All patients were followed up after the operation.The symptoms were obviously improved in 29 cases (85.3%), stability and no change in 5 cases (14.7%) and none postoperative neurological deterioration cases. Conclusion: The treatment of craniocervical junction malformation using simple posterior reduction and decompression technique is effective and has few complications, which can obviously improve the life quality of the patients. 目的： 探讨颅颈交界区的不同类型畸形合并寰枢椎脱位的单纯后路复位矫形及减压技术治疗效果。 方法： 回顾性分析2014年3月至2017年3月南昌大学第一附属医院神经外科收治的单纯经后路内固定及减压手术治疗颅颈交界区不同畸形患者，共34例，其中颅底陷入症合并寰枢椎脱位26例(26例中19例合并寰枕融合，12例合并Chiari畸形，13例合并脊髓空洞症)，齿状突畸形合并寰枢脱位8例(其中2例合并Chiari畸形，1例合并扁平颅底，1例合并寰椎畸形)。所有患者均行动力位X线片、CT扫描及三维重建、颅颈MRI扫描。术中均行枕骨大孔扩大减压并行枕颈固定植骨融合，合并小脑扁桃体下疝畸形患者行枕部小骨窗减压。 结果： 术后对所有患者进行了随访，症状明显改善者29例(85.3%)。症状稳定无变化者5例(14.7%)，无术后神经功能恶化病例。 结论： 单纯经后路复位及减压手术治疗颅颈交界区畸形失稳疗效满意，并发症少，可明显提高患者的生活质量。.

[Abstract] [Full Text] [Related] [New Search]