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題 名 | One-Stage Posterior Decompression and Stabilization of the Atlanto-Axial-Subaxial Cervical Spine=單次寰、軸、軸椎以下從後位之頸椎減壓及固定手術 |
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作 者 | 李世祥; 李石增; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 36:1 民92.01-02 |
頁 次 | 頁5-11 |
分類號 | 416.61 |
關鍵詞 | 單次寰; 軸椎; 頸椎減壓; Cervical spine; Posterior decompression; Lateral mass; Spinal fusion; Transarticular screws; |
語 文 | 英文(English) |
英文摘要 | Objective: The aim of this study is to evaluate the results of decompression and stabilization of the unstable atlanto-axial-subaxial cervical spine using a one-stage posterior approach surgical method. Methods: Eight patients included seven men and one woman, whose ages ranged from 27 to 74 years, with an average of 51.8 years with either Cl-2-3 or Cl-2-3-4 instability were included in this study. All patients received a one-stage operation, including posterior approach CI-C2 transarticular screws and subaxial cervical spine lateral mass plates and screws fixation with or without cervical laminectomy. Results: Eight to eighteen months after the surgery, the follow-up revealed neither neurological deterioration nor hardware failure. The outcome was satisfactory. Conclusions: The combination of C1-C2 transarticular screws with subaxial lateral mass plates and screws fixation does not require the lamina as a stabilizing anchor. In cases of incompetence of the posterior elements or if a decompression laminectomy procedure is necessary, posterior decompression and instrumentation fixation can be performed in a one-stage surgery. We believe that the CI-C2- transarticuiar screws-subaxial lateral mass plates and screws procedure is a good alternative method in treating the unstable atlanto-axial-subaxial cervical spine. |
本系統中英文摘要資訊取自各篇刊載內容。