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Camille 经关节突颈椎稳定技术 8 年治疗经验报告

Report of an eight-year experience with Camille's transarticular technique of cervical spinal stabilization.

机构信息

Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India; Department of Neurosurgery, Lilavati Hospital and Research Centre, Bandra, Mumbai, India.

Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India.

出版信息

J Clin Neurosci. 2022 Jan;95:9-19. doi: 10.1016/j.jocn.2021.11.024. Epub 2021 Dec 2.

DOI:10.1016/j.jocn.2021.11.024
PMID:34929658
Abstract

We present our experience with Camille's cervical transarticular screw fixation technique. During the period June 2012 to April 2020, 2422 screws were implanted in 321 patients by Camille's transarticular cervical spinal screw fixation technique. The indications of screw implantation were radiculopathy/myelopathy related to cervical spondylosis in 258 cases, cervical OPLL in 54 cases and Hirayama disease in 9 cases. The follow-up ranged from 6 to 92 months. In the entire series, there were no nerve or vessel injury or any other intraoperative 'complications' related to screw implantation. There was no instance of screw pull out or screw failure. There was no metal implant related infection. Satisfactory arthrodesis of all the treated spinal segments was observed on investigations done at a minimum follow-up of 6 months. Camille's transarticular screw fixation technique is a relatively simple surgical procedure and provides a safe, strong and reliable arthrodesis at the fulcrum of spinal movements.

摘要

我们介绍了 Camille 经颈椎关节突螺钉固定技术的经验。2012 年 6 月至 2020 年 4 月期间,321 例患者采用 Camille 经颈椎关节突螺钉固定技术植入 2422 枚螺钉。螺钉植入的适应证为颈椎病引起的神经根病/脊髓病 258 例,颈椎 OPLL 54 例,平山病 9 例。随访时间为 6 至 92 个月。在整个系列中,没有神经或血管损伤,也没有与螺钉植入相关的任何其他术中“并发症”。没有螺钉拔出或螺钉失效的情况。没有与金属植入物相关的感染。在至少 6 个月的随访时进行的影像学检查显示,所有治疗节段的关节融合均满意。Camille 经颈椎关节突螺钉固定技术是一种相对简单的手术方法,在脊柱运动的枢轴处提供安全、牢固和可靠的融合。

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