Treatment strategy of fracture or dislocation of atlantoaxial articulation in children
- VernacularTitle:小儿C_(1、2)骨折脱位的治疗策略
- Author:
Jian TAN
;
Wenjun WANG
- Publication Type:Journal Article
- Keywords:
children;
atlanto-axial articulation;
fracture dislocation;
therapy
- From:
Orthopedic Journal of China
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
The atlantoaxial articulation fracture or dislocation in children is one kind of common damage disease on upper cervical vertebra.Because the children are still in the stage of development,the atlantoaxial articulation ligamentum capsulare and the ligament are relax,so they are easy to be dislocated by external forces or be spontaneous dislocated caused by pathology reasons.The upper cervical vertebra damages on the children are quite different from that on the adults both in anatomical view and in biological term,therefore,the treatment are different from adults either.The treatments can be divided into the conservative ones and the surgery ones,the surgery treatment can also be divided into the posterior atlantoaxial fixed fusion technology,the occipitocervical fixed fusion technology and the odontid screw pexia.No matter using the conservative treatments or the surgical operation treatments,the root cure for the atlantoaxial articulation fracture or dislocation is to re-construct the stability of the articulation.The key point of freatment selection is to grasp the indications of each method.
