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寰枕融合继发的颈脊髓病：单纯减压手术的有效性

Cervical Myelopathy Secondary to Atlanto-occipital Assimilation: The Usefulness of the Simple Decompressive Surgery.

作者信息

Kim Kang Rae, Lee Young Min, Kim Young Zoon, Cho Yong Woon, Kim Joon Soo, Kim Kyu Hong, Lee In Chang

机构信息

Department of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

出版信息

Korean J Spine. 2013 Sep;10(3):189-91. doi: 10.14245/kjs.2013.10.3.189. Epub 2013 Sep 30.

DOI:10.14245/kjs.2013.10.3.189
PMID:24757486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3941764/
Abstract

Atlanto-occipital assimilation is one of the most common osseous anomalies observed at the craniocervical junction. Most patients with atlas assimilation show no symptom, but some have neurological problems such as myelopathy that may require surgical treatment. Occipitocervical fusion may be required if atlato-occipital assimilation is accompanied by occipito-axial instability. However, in cases of symptomatic atlas assimilation with minor cord compression without instability, simple decompressive surgery may be the treatment modality. This report describes a case of successful treatment of a patient with myelopathy secondary to atlanto-occipital assimilation without instability, using posterior simple decompressive surgery.

摘要

寰枕融合是在颅颈交界区观察到的最常见的骨性异常之一。大多数寰椎融合患者没有症状，但有些患者会出现神经问题，如脊髓病，可能需要手术治疗。如果寰枕融合伴有枕颈不稳定，则可能需要进行枕颈融合术。然而，对于有症状的寰椎融合且伴有轻微脊髓压迫但无不稳定的病例，单纯减压手术可能是治疗方式。本报告描述了一例通过后路单纯减压手术成功治疗无不稳定的寰枕融合继发脊髓病患者的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/b25df2759469/kjs-10-189-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/0914183140e2/kjs-10-189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/898879b73558/kjs-10-189-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/b25df2759469/kjs-10-189-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/0914183140e2/kjs-10-189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/898879b73558/kjs-10-189-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c8/3941764/b25df2759469/kjs-10-189-g003.jpg

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本文引用的文献

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Occipitocervical fusion for rheumatoid arthritis using the inside-outside stabilization technique.采用由内向外稳定技术进行类风湿性关节炎的枕颈融合术。
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