Atlas lateral mass screws combined with posterior Epistropheus pedicle screws for treatment of atlantoaxial joint instability
10.11659/jjssx.09E014048
- VernacularTitle:寰椎侧块螺钉结合枢椎椎弓根螺钉治疗寰枢椎失稳
- Author:
Liangbi XIANG
;
Jun LIU
;
Hailong YU
;
Yu CHEN
;
Yanchun XIE
- Publication Type:Journal Article
- Keywords:
atlas;
lateral mass screw;
epistropheus pedicle screw;
atlantoaxial joint instability
- From:
Journal of Regional Anatomy and Operative Surgery
2015;24(6):640-642
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical effect and the notes of atlas lateral mass screws combined with posterior epistropheus ped-icle screws for the treatment of atlantoaxial joint instability. Methods In our hospital from January 2006 to January 2011,48 cases of atlan-toaxial joint instability accepted operation of the atlas lateral mass screws combined with epistropheus pedicle screws were analyzed. Results All patients with follow-up time 12~24 months,an average of 17 months,were achieved primary healing and atlanto-axial intervertebral osse-ous healing. Besides postoperative neck pillow area pain improved and nerve function get a degree of recovery,there was no inner fixed damage cases. Complications of operation include venous plexus hemorrhage was in 2 cases,cervical occipital pain and numbness increase in 3 cases,cere-brospinal fluid leak in 2 cases,vertebral artery extrusion occlusion after cerebral ischemic symptoms in 1 case. Conclusion Combination of atlas lateral mass screws and posterior epistropheus pedicle screws technique is one of the effective means of treatment of atlantoaxial joint instabili-ty and can obtain satisfactory clinical effect. Standard operation performance is the key to reduce or even eliminate surgical complications.
