Combination of lumbar peek cage with posterior fixation in the treatment of atlantoaxial dislocation: a preliminary report
10.12025/j.issn.1008-6358.2017.20170367
- VernacularTitle: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
- Author:
Yuan-Wu CAO
1
;
Zi-Xian CHEN
;
Chun JIANG
;
Zhen-Zhou FENG
;
Xiao-Xing JIANG
Author Information
1. 复旦大学附属中山医院骨科
- Keywords:
atlantoaxial dislocation;
posterior fixation;
lumbar peek cage;
facet distraction
- From:
Chinese Journal of Clinical Medicine
2017;24(5):736-739
- CountryChina
- Language:Chinese
-
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.
