Treatment of irreducible atlantoaxial dislocation by transoropharyngeal atlantoaxial reduction plate system:a report of 5 cases
- VernacularTitle:经口咽前路寰枢椎复位钢板系统的设计及其即时复位作用(附5例临床报告)
- Author:
Qingshui YIN
;
Fuzhi AI
;
Kai ZHANG
- Publication Type:Journal Article
- Keywords:
atlanto-axial joint dislocation;
internal fixators;
transoropharyngeal approach
- From:
Medical Journal of Chinese People's Liberation Army
1982;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate transoropharyngeal atlantoaxial reduction plate system (TARP) and its preliminary clinical effect. Methods The TARP system was designed to consist of a butterfly titanium alloy plate, self-locking screws, atlantoaxial reductor and other surgical instruments. The system was applied clinically to five irreducible atlantoaxial dislocations as a result of injury or congenital disorders. During the operation, the reduction was achieved through the combination of the plate and the atlantoaxial reductor after the transoropharyngeal brisement and decompression. Bone graft was implanted between the lateral atlantoaxial joints. Results The reduction mechanism of the TARP system was well designed. Its clinical application to five cases of irreducible atlantoaxial dislocation proved that TARP had the function of instant reduction and that the operation was feasible and had laudable effect. Conclusion TARP design is a novel strategy. Its operative procedure is simple and feasible. Both the instant reduction and stable fixation can be obtained during the operation. TARP is creative and has excellent prospect.
