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后路关节内撑开并置入椎间融合器治疗先天性寰枢椎脱位伴基底凹陷症。

Posterior intra-articular distraction with cage placement to treat congenital atlantoaxial dislocation associated with basilar invagination.

作者信息

Duan Wanru, Chou Dean, Jian Fengzeng, Chen Zan

机构信息

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China; and.

Department of Neurological Surgery, University of California, San Francisco, California.

出版信息

Neurosurg Focus Video. 2020 Jul 1;3(1):V2. doi: 10.3171/2020.3.FocusVid.191001. eCollection 2020 Jul.

Abstract

Congenital atlantoaxial dislocation (AAD) associated with basilar invagination (BI) is a complex congenital malalignment at the craniovertebral junction. The olisthesis, atlantoaxial facet joint arthropathy, and the contraction of the anterior soft tissue make the treatment challenging. Our video demonstrates the surgical technique for posterior intra-articular distraction with cage placement to treat congenital atlantoaxial dislocation associated with basilar invagination. The video can be found here: https://youtu.be/7EQqW96HhN8.

摘要

先天性寰枢椎脱位(AAD)合并颅底凹陷(BI)是一种复杂的颅颈交界区先天性排列不齐。椎体滑脱、寰枢关节病以及前方软组织挛缩使得治疗具有挑战性。我们的视频展示了采用椎间融合器置入进行关节内后路撑开治疗先天性寰枢椎脱位合并颅底凹陷的手术技术。视频可在此处查看:https://youtu.be/7EQqW96HhN8

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