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Surgical treatment for old disruption of transverse ligament of atlas
Author(s): 
Pages: 215-218
Year: Issue:  4
Journal: JOURNAL OF SPINAL SURGERY

Keyword:  寰枢关节韧带脱位脊柱融合术;
Abstract: 目的 探讨陈旧性寰椎横韧带断裂的后路手术治疗.方法 回顾性分析12例陈旧性寰椎横韧带断裂病例,患者病程为伤后3个月~2年,平均为12个月,患者均有程度不等的神经损伤表现.X线检查显示寰齿间距(ADI)为6~12 mm.所有患者均接受Apofix固定并寰、枢椎融合术.本组患者术前均施行颅骨牵引,以获得寰枢关节复位或接近解剖复位.结果 随访6个月~3年,所有患者术后均未出现寰、枢椎不稳定的表现.结论 陈旧性寰椎横韧带断裂是导致寰、枢椎不稳定的重要原因之一.其诊断依赖于ADI测量及MRI检查.一旦诊断明确,后路寰枢椎融合术是一种有效的治疗方法.术前牵引复位是施行后路寰枢椎融合术的前提.
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