查詢結果分析
來源資料
相關文獻
- Surgical Treatment of Multiple Level Cervical Spine Subluxation Due to Rheumatoid Arthritis
- 類風濕性關節炎合併頸椎脫位:一例報告
- 類風濕性關節炎之頸椎不完全脫位術後併發股神經及閉孔神經病變:病例報告
- Tandem Spinal Stenosis: Clinical Diagnosis and Surgical Treatment
- A Custom-Made Device-Omega Loop for Posterior Atlantoaxial Fixation
- Detection of Tumor Necrosis Factor-α and Receptors in the Serum and Synovial Fluid of Patients With Rheumatoid Arthritis and Osteoarthritis
- 類風濕性關節炎
- 頸椎神經壓迫症候群病歷研討
- Cervical Laminoplasty with Miniplates and Screws: Technical Note
- Management of Type Ⅲ Dens Fracture
頁籤選單縮合
題 名 | Surgical Treatment of Multiple Level Cervical Spine Subluxation Due to Rheumatoid Arthritis=類風濕性關節炎引起之頸椎多發性半脫位之外科治療 |
---|---|
作 者 | 李世祥; 陳志豐; 雷大雅; 李石增; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 33:3 民89.05-06 |
頁 次 | 頁123-129 |
分類號 | 416.26 |
關鍵詞 | 類風濕性關節炎; 頸椎; 多發性半脫位; Rheumatoid arthritis; Cervical spine; Atlantoaxial subluxation; |
語 文 | 英文(English) |
中文摘要 | 類風濕性關節炎,是一種常常侵犯頸椎之發炎性疾病。頸椎可能受到廣泛性侵犯,使得頸椎出現多發性半脫位,以及脊髓神經被壓迫。過去許多文獻皆主張以椎弓板切除術加上後融合術,又或者以經口腔減壓術加上後融合術作治療。在本篇報告中病患為一名49歲女性病人,罹患了類風濕性關節炎,且頸椎受到廣泛性侵犯,脊髓神經在第一、二節頸椎處受到嚴重之壓迫,病人接受了經口腔減壓術,手術後之核磁共振檢查證明脊髓神經沒有達到足夠之減壓,我們於是對病人施行從後方減壓術加上後融合術,成功地達到理想之脊髓神經減壓以及頸椎之固定融合。這種合併經口腔減壓術、從後方減壓術加上後融合術的手術方法,應可成為選擇的治療方式之一。 |
英文摘要 | The authors report a patient with extensive rheumatie cervical spine involving atlantoaxial subluxation with spinal cord compression, and subaxial subluxation from the level of C2 to C7. The patient was admitted with neck pain and myelopathy and was treated with pre-operative skeletal traction and a two stage surgery: first, transoral decompression; and second suboccipital decompression involving C1 laminectomy with posterior fusion of the occiput-C1 to C7 levels. Cervical MRI was performed between the two stages of surgery revealing an inadequate decompression with the transoral approach alone. Although adequate spinal cord decompression and spinal flsation can be obtained by posterior appreach alone in most of the condition, combined anterior and posterior decompression with posterlor fixation was necessary for treatment of hte extensive multiple cervial spine subluxation in certain conditions as in this case. Cervical MRI imaging between the two stages of surgery in recommended ti evaluate whether the decompression in the first stage surgery was complete or not. |
本系統中英文摘要資訊取自各篇刊載內容。