c1、c2螺钉固定治疗不同年龄组寰枢椎不稳的分析

Q3 Medicine Hirurgia Pozvonochnika Pub Date : 2018-09-19 DOI:10.14531/ss2018.3.6-12
A. Gubin, A. Burtsev, S. Ryabykh, V. Klimov, A. Evsyukov, D. Ivliev
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引用次数: 0

摘要

目标。分析C1、C2固定用于不同年龄组患者颅颈稳定的可行性及安全性。材料和方法。研究设计为回顾性多中心队列分析。证据水平- 2。本研究基于43例5-74岁接受C1, C2螺钉固定的患者的诊断和治疗资料。在大多数病例中,寰枢椎不稳定是由于外伤性损伤。螺钉植入C1 81例,C2 80例。对41例患者的术后MSCT数据进行了评估。63,0 %的病例认为C1螺钉位置理想,其余病例出现错位,其中6例出现双错位。在80枚C2螺钉中,64枚经椎弓根植入。在59.5%的病例中,良好的位置显露;在其他情况下,注意到不同的错位。所有病例均未出现神经血管损伤或临床表现。对C1、C2螺钉固定的分析表明,该技术适用于不同年龄组的患者。手术时间和出血量没有超出常规值。术后错位不伴有神经系统疾病,因此可以认为这种固定是相当安全的。
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ANALYSIS OF C1, C2 SCREW FIXATION FOR ATLANTOAXIAL INSTABILITY IN PATIENTS OF DIFFERENT AGE GROUPS
Objective. To analyze feasibility and safety of C1, C2 fixation for craniocervical stabilization in patients of different age groups.Material and Methods. Study design is a retrospective multicenter cohort analysis. Level of evidence – II. The study was based on the diagnosis and treatment data of 43 patients aged 5–74 years who underwent C1, C2 screw fixation.Results. In most cases, atlantoaxial instability was due to traumatic injuries. Screws were implanted in C1 in 81 cases, and in C2 in 80. Postoperative MSCT data were evaluated in 41 patients. The position of the screws in C1 was defined as ideal in 63,0 % of cases, in the remaining cases there were malpositions, with 6 screws having double malpositions. Out of 80 screws inserted in C2, 64 were implanted transpedicularly. In 59.5 % of cases, a good position was revealed; in other cases different malpositions were noted. In none of the cases neurovascular damage or clinical manifestation occurred.Conclusion. Analysis of screw fixation of C1, C2 showed that this technique is feasible in patients of different age groups. Duration of surgery and blood loss did not go beyond the conventional values. Postoperative malpositions are not accompanied by neurological disorders, which allows to consider this fixation quite safe.
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来源期刊
Hirurgia Pozvonochnika
Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
7 weeks
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