Subtotal vertebrectomy of axis for spinal cord decompression by transoral anterior approach
- VernacularTitle:经口咽前路枢椎椎体次全切在陈旧性寰枢椎脱位中的应用
- Author:
Qingshui YIN
;
Jingfa LIU
;
Hong XIA
- Publication Type:Journal Article
- Keywords:
atlanto-axial joint dislocation;
orthopedic procedures;
transoropharyngeal approach
- From:
Medical Journal of Chinese People's Liberation Army
1982;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical results of subtotal vertebrectomy of the axis for spinal canal decompression by transoral anterior approach in the treatment of atlanto-axial dislocation with spinal cord compression. Method fifteen cases of atlanto-axial dislocation with spinal cord compression caused by congenital deformity or trauma were subjected to subtotal vertebrectomy of the axis via transoral anterior approach . Results After an average follow-up of 20 months, curative effect was evaluated according to Symon and Lavender. Vertebral canal vector diameters in MRI were measured. The total clinical effective rate was 100%, and the remarkable effective rate reached 60%. The average improvement rate of vertebral canal decompression was 79.8%. No sign of spinal cord and arteries injury and infection were observed. Conclusion Subtotal vertebrectomy of the axis via transoral anterior approach is proved to be feasible to treat cervical spinal cord compression on C 2 vertebra level.
