Grob D, Dvorak J, Panjabi M, Froehlich M, Hayek J
Department of Orthopedic Surgery, W. Schulthess Hospital, Zürich, Switzerland.
Spine (Phila Pa 1976). 1991 Mar;16(3 Suppl):S17-24.
A new technique for occipitocervical fusion is described. The fixation of the upper cervical spine with plates and screws avoids the possible disadvantages of the commonly used wiring technique. By the establishment of a rigid fixation between the occiput and upper cervical spine with a combination of plates and screws, especially with transarticular atlantoaxial screw fixation, reliable, multidirectional, and immediate stability is achieved. The clinical picture and analysis of 14 patients with a variety of pathologies of the upper cervical spine is presented. The satisfactory outcome and solid bony fusion in all 14 patients and the absence of severe complications encourages the continued use of this technique of occipitocervical fusion.
本文描述了一种枕颈融合的新技术。使用钢板和螺钉对上颈椎进行固定，避免了常用钢丝技术可能存在的缺点。通过钢板和螺钉相结合，特别是经关节寰枢椎螺钉固定，在枕骨和上颈椎之间建立牢固固定，可实现可靠、多方向且即时的稳定性。本文呈现了14例患有各种上颈椎疾病患者的临床表现及分析。所有14例患者均获得满意疗效且实现了牢固的骨融合，且无严重并发症，这鼓励继续使用这种枕颈融合技术。
