Advances in the technology of surgical treatment for atlantoaxial dislocation
10.3760/cma.j.cn112139-20231219-00287
- VernacularTitle:寰枢椎脱位外科治疗的技术进展
- Author:
Can ZHANG
1
;
Zan CHEN
Author Information
1. 首都医科大学宣武医院神经外科 中国国际神经科学研究所脊柱中心，北京 100052
- Keywords:
Atlanto-occipital joint;
Congenital abnormalities;
Atlantoaxial dislocation;
Basilar invagination;
Craniocervical junction malformation;
Interarticular dis
- From:
Chinese Journal of Surgery
2024;62(3):182-186
- CountryChina
- Language:Chinese
-
Abstract:
The etiology and pathological morphology of atlantoaxial dislocation (AAD) are complex. Based on the pathological anatomical characteristics of AAD, combined with clinical techniques, it is essential to formulate reasonable classification criteria and develop corresponding treatment strategies for different types of AAD. The satisfactory outcome of surgical treatment for AAD can only be achieved through the comprehensive application of various atlantoaxial reduction techniques, tension band releasing techniques, internal fixation and fusion techniques. This article discusses the latest advancements in surgical treatment techniques for AAD, thoroughly explores treatment strategies based on different types of AAD, and analyzes the practicality and effectiveness of clinical classification and treatment strategies. The posterior atlantoaxial facet releasing and distraction compression reduction technique may pose challenges to traditional treatment strategies in the future. In the development of surgical treatment techniques for AAD, microspinal surgical techniques may play a significant role in improving surgical methods and enhancing treatment outcomes.
