伴有颅颈交界结构畸形的寰枢椎脱位后路手术策略进展

发布时间：2018-08-29 16:59

【摘要】：正颅颈交界区域包括枕骨至C_(2~3)间盘水平,该区域可伴有相关结构畸形,包括颅底凹陷、寰椎枕骨化、游离齿突、C_(2~3)先天融合、寰椎前弓和(或)后弓先天性分裂等骨性结构畸形,而骨性结构的畸形往往合并有椎动脉的畸形~([1])。可复性寰枢椎脱位和不可复性寰枢椎脱位经过前路松解、减压都需要后路融合内固定术~([2])。寰枢椎后路固定技术可分为六类,Gallie、Brooks技术、椎板夹技术、Magerl经关节螺钉技术、钉板技术
[Abstract]:The anterior craniocervical junction includes the occipital bone to the level of C _ (2F3) intervertebral disc. The region may be accompanied by associated structural deformities, including skull base depression, atlantooccipital ossification, congenital fusion of free odontoid process C2F3, congenital cleavage of anterior and / or posterior arch of atlas, and other bone structural deformities. The deformities of bone structures are often associated with vertebral artery deformities ~ (1). After anterior decompression, posterior fusion and internal fixation are needed for the reducible atlantoaxial dislocation and irreducible atlantoaxial dislocation. Posterior atlantoaxial fixation techniques can be divided into six categories: Gallieau Brooks technique, laminar clamp technique, Magerl transarticular screw technique and nail plate technique.
【作者单位】：桂林医学院附属医院脊柱外科;南方医科大学珠江医院脊柱外科;
【分类号】：R687.3

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