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[风湿性寰枢椎不稳的动力性加压脊柱融合术的适应证、问题及结果]

[Indications, problems and results of dynamic compression spondylodesis in rheumatic atlanto-axial instability].

作者信息

Eysel P, Roosen K

机构信息

Orthopädische Klinik und Poliklinik, Johannes Gutenberg-Universität, Mainz.

出版信息

Z Rheumatol. 1993 Jan-Feb;52(1):28-37.

PMID:8475665
Abstract

37 patients suffering from rheumatoid atlanto-axial dislocation underwent operations with the dynamic compression spondylodesis from 1982 until 1990 at the Department of Neurosurgery of the University Hospital of Giessen and Essen. They were examined with an average of 2 years after the operation. The clinical and radiological follow up and the complications are reported. Because of the results the indication of the surgical treatment was modified. In the case of an extended peridental inflammatory pannus with osteolysis of the dens and vertical dislocation of the axis a occipito-cervical fusion is indicated.

摘要

1982年至1990年期间,37例类风湿性寰枢椎脱位患者在吉森和埃森大学医院神经外科接受了动力加压脊柱融合术。术后平均对他们进行了2年的检查。报告了临床和影像学随访情况以及并发症。基于这些结果,手术治疗的适应症得到了修正。对于伴有齿状突骨质溶解和枢椎垂直脱位的广泛性齿周炎性血管翳,应行枕颈融合术。

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