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寰枢椎旋转性半脱位：小儿患者队列的手术治疗

Atlantoaxial rotatory dislocation: Surgical treatment in a pediatric patient cohort.

作者信息

Štulík Jan, Rybárová Michaela, Barna Michal, Klézl Zdeněk

机构信息

Center for Spinal Surgery, First Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.

出版信息

Brain Spine. 2022 Nov 1;2:101667. doi: 10.1016/j.bas.2022.101667. eCollection 2022.

DOI:10.1016/j.bas.2022.101667
PMID:36506286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9729819/
Abstract

•Surgical correction of AARD is an appropriate method of treatment after failed non-operative therapy.•The technique of surgical reduction and C1-C2 fixation using Harms/Goel technique provides excellent clinical outcomes.•In case of traumatic AARD we recommend to consider temporary fixation.

摘要

•寰枢关节旋转固定（AARD）手术矫正是非手术治疗失败后的一种合适治疗方法。

•采用Harms/Goel技术进行手术复位及C1-C2固定，临床效果良好。

•对于创伤性AARD，我们建议考虑临时固定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/3534ab752cb2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/496894592c7e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/6d839e929929/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/3534ab752cb2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/496894592c7e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/6d839e929929/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f2/9729819/3534ab752cb2/gr3.jpg

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本文引用的文献

1
Indicators of atlantoaxial instability.寰枢椎不稳的指标。
J Craniovertebr Junction Spine. 2021 Apr-Jun;12(2):103-106. doi: 10.4103/jcvjs.jcvjs_55_21. Epub 2021 Jun 10.
2
Systematic review of the nonsurgical management of atlantoaxial rotatory fixation in childhood.儿童寰枢椎旋转固定的非手术治疗的系统评价。
J Neurosurg Pediatr. 2020 Oct 9;27(1):108-119. doi: 10.3171/2020.6.PEDS20396. Print 2021 Jan 1.
3
Atlantoaxial rotatory fixation in childhood: a staged management strategy incorporating manipulation under anaesthesia.
儿童寰枢椎旋转固定：纳入麻醉下手法复位的分期管理策略。
Childs Nerv Syst. 2021 Jan;37(1):167-175. doi: 10.1007/s00381-020-04727-y. Epub 2020 Jul 13.
4
[Surgical Therapy of Fixed Atlantoaxial Rotatory Dislocation - Monocentric Study of 15 Patients].[固定性寰枢椎旋转性半脱位的手术治疗——15例患者的单中心研究]
Acta Chir Orthop Traumatol Cech. 2019;86(6):403-412.
5
Torticollis and rotatory atlantoaxial dislocation: A clinical review.斜颈与旋转性寰枢椎脱位：临床综述
J Craniovertebr Junction Spine. 2019 Apr-Jun;10(2):77-87. doi: 10.4103/jcvjs.JCVJS_40_19.
6
Atlantoaxial Rotatory Subluxation in Children.儿童寰枢椎旋转半脱位
Pediatr Emerg Care. 2017 Feb;33(2):86-91. doi: 10.1097/PEC.0000000000001023.
7
Atlantoaxial Rotatory Subluxation: A Review for the Pediatric Emergency Physician.寰枢椎旋转半脱位：儿科急诊医生综述
Pediatr Emerg Care. 2016 Oct;32(10):710-716. doi: 10.1097/PEC.0000000000000817.
8
Atlantoaxial Rotatory Fixed Dislocation: Report on a Series of 32 Pediatric Cases.寰枢椎旋转固定性脱位：32例儿科病例报告。
Spine (Phila Pa 1976). 2016 Jun;41(12):E725-E732. doi: 10.1097/BRS.0000000000001414.
9
One-step reduction and fixation applying transposterior arch lateral mass screw of C1 combined with pedicle screw of C2 and rod system for pediatric acute atlantoaxial rotatory subluxation with injury of transverse ligament.一期后路C1侧块螺钉联合C2椎弓根螺钉及棒系统复位固定治疗小儿急性寰枢椎旋转半脱位伴横韧带损伤
Spine (Phila Pa 1976). 2015 Mar 1;40(5):E272-8. doi: 10.1097/BRS.0000000000000753.
10
Nontraumatic atlantoaxial rotatory subluxation: grisel syndrome. Case report and literature review.非创伤性寰枢椎旋转半脱位：Grisel 综合征。病例报告及文献复习。
Global Spine J. 2014 Aug;4(3):179-86. doi: 10.1055/s-0033-1363936. Epub 2014 Jan 13.