Hale Andrew T, Dewan Michael C, Patel Bhairav, Geck Matthew J, Tomycz Luke D
Department of Neurosurgery, Vanderbilt University School of Medicine, T4224 Medical Center North, Nashville, TN, 37232, USA.
Division of Pediatric Neurosurgery, Monroe Carell Jr. Children's Hospital, Nashville, TN, USA.
Childs Nerv Syst. 2017 Aug;33(8):1253-1260. doi: 10.1007/s00381-017-3497-8. Epub 2017 Jul 6.
The treatment of atlantoaxial dislocation in very young children is challenging and lacks a consensus management strategy.
We review the literature on infantile occipitocervical (OC) fusion is appraised and technical considerations are organized for ease of reference. Surgical decisions such as graft type and instrumentation details are summarized, along with the use of bone morphogenic protein and post-operative orthoses.
We present the case of a 12-month-old who underwent instrumented occipitocervical (OC) fusion in the setting of traumatic atlanto-occipital dislocation (AOD).
Occipitocervical (OC) arthrodesis is obtainable in very young infants and children. Surgical approaches are variable and use a combination of autologous grafting and creative screw and/or wire constructs. The heterogeneity of pathologic etiology leading to OC fusion makes it difficult to make definitive recommendations for surgical management.
极年幼患儿寰枢椎脱位的治疗具有挑战性，且缺乏共识性的管理策略。
我们对有关婴儿枕颈（OC）融合的文献进行综述并整理技术要点以供参考。总结了诸如移植物类型和器械细节等手术决策，以及骨形态发生蛋白的使用和术后支具情况。
我们介绍了一名12个月大患儿的病例，该患儿因创伤性寰枕脱位（AOD）接受了器械辅助枕颈（OC）融合术。
极年幼的婴儿和儿童可进行枕颈（OC）关节融合术。手术方法多样，采用自体移植与创新的螺钉和/或钢丝结构相结合。导致枕颈融合的病理病因的异质性使得难以对手术管理做出明确建议。
