Direct posterior restoration and internal fixation technique for children with congenital atlantoaxial subluxation
10.3760/cma.j.issn.1671-8925.2012.02.019
- VernacularTitle:儿童先天性寰枢关节脱位后路复位及内固定技术
- Author:
Xi-Tuan JI
1
;
Zhou FEI
;
Xiang NG ZHA
;
Wei-Ping LIU
;
Xiao-Sheng HE
;
Yan QU
;
Guang CHENG
;
Hai-Feng GAO
;
Hong LIN
;
Feng-Zeng JIAN
Author Information
1. 第四军医大学西京医院
- Keywords:
Joint instability;
Restoration;
Bone screw;
Titanium;
Intemal fixation
- From:
Chinese Journal of Neuromedicine
2012;11(2):186-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of direct posterior restoration and screw-rod (plate) internal fixation technique for the treatment of children with congenital atlantoaxial subluxation.Methods Seven children with congenital atlantoaxial subluxation,admitted to our hospital from April 2008 to March 2011, were chosen in our study; and 3 of them were combined with tonsil hernia of cerebellum and 3 with occipitalization. Japanese Orthopedic Association (JOA) scale was used to evaluate the patient's condition. Five patients were treated by internal fixation with occipital bone screw-axis (C2) pedicle screw and 2 were with atlas C1-C2.Articulatio atlantoepistrophica repositioning was performed during the operation. The post-operative improvement degree and therapeutic effect of these patients were assessed based on the JOA scores and imaging. Results All the patients were followed up for 1-15 months (average 3.2 months). The clinical symptoms of all patients improved significantly. The positions of all screws were fine 1 month after operation. Three-dimensional CT showed that occipital/interbody fusions were good in 3 patients.JOA scores after the surgery were 7-16 with an average scores of (12.03±3.58),which were significantly different as compared with those before the surgery ([7.56±3.16], P＜0.05). Conclusion Direct posterior restoration and internal fixation technique is a safe and effective method for the treatment of children with congenital atlantoaxial subluxation.
