Apostolides P J, Theodore N, Karahalios D G, Sonntag V K
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.
J Neurosurg. 1997 Jul;87(1):96-9. doi: 10.3171/jns.1997.87.1.0096.
The authors report the successful treatment of an acute combination atlas-axis fracture in an 85-year-old man using anterior odontoid and C1-2 transarticular facet screw fixation and a Philadelphia collar. Treatment with halo brace immobilization failed, and the patient experienced recurrent episodes of oxygen desaturation when placed partially prone for chest physiotherapy. If a posterior approach is not feasible, an anterior odontoid and C1-2 transarticular facet screw fixation can be considered as a salvage procedure for patients with acute combination atlas-axis fractures.
作者报告了一名85岁男性急性寰枢椎联合骨折的成功治疗案例，采用前路齿突和C1-2经关节小关节螺钉固定以及费城颈托。采用头环支具固定治疗失败，患者在进行胸部物理治疗时部分俯卧位时出现反复的氧饱和度下降。如果后路手术不可行，对于急性寰枢椎联合骨折患者，前路齿突和C1-2经关节小关节螺钉固定可作为一种挽救手术。
