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題 名 | C1-C2 Stabilisation with Transarticular Screw Fixation: Long-term Evaluation of Results and Efficacy=經關節螺釘固定術以治療寰椎-軸椎(C1-C2)之不穩定--結果及效果之長期評估 |
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作 者 | 李祖信; 賴業超; | 書刊名 | 光田醫學雜誌 |
卷 期 | 2:4 2007.09[民96.09] |
頁 次 | 頁93-101 |
分類號 | 416.61 |
關鍵詞 | 軸椎齒狀突骨折; 不穩定; 後方內固定; 經關節螺釘固定手術; Odontoid process fracture; Instability; Posterior fusion; Transarticular screw fixation; |
語 文 | 英文(English) |
中文摘要 | 背景:十位有寰椎-軸椎不穩定之病人,經關節螺釘固定手術治療後,對其治療效果之長期評估報告。 方法:在七年內有十位外傷引起的軸椎齒狀突骨折而產生不穩定之病人接受手術。經兩側關節螺釘固定術為唯一的方法。有七位男性和三位女性,年齡由14歲至73歲。其中病例1,其齒狀突骨折已有20年之久,五位病人表現後頸疼痛和脊髓症狀,四位只有後頸痛。一位病人同時合併腦損傷及四肢癱瘓。 結果:十位病人共使用十八根螺絲釘;其中八位用兩根(兩側),二位用一根(一側)。沒有術中或術後併發症。經過四至十一年之追蹤結果,所有十位病人都獲得良好的復位和骨折癒合,而後頸疼痛和脊髓症狀也得到改善。 結論:治療寰椎-軸椎不穩定之方法很多,而能提供立刻復位和穩定之手術則非經關節螺釘固定術莫屬。若再配合後方寰椎-軸椎鋼絲及骨融合手術,除可提高骨折癒合比率外,並被公認為黃金基準(Gold Standard)手術方法。 |
英文摘要 | Objective: To report the results and efficacy of the C1-C2 transarticular screw fixation technique performed in 10 consecutive patients with atlantoaxial instability at our teaching hospital. Methods: Ten patients with atlantoaxial instability due to a traumatic odontoid fracture were operated on over a period of 7 years. The transarticular screw fixation technique was used, and at least one screw was placed. The patients included 6 men and 4 women whose ages ranged from 14 to 73 years. Case 1 had a remote odontoid type Ⅱ fracture for 20 years. Five patients presented with neck pain and myelopathy, and four patients presented with neck pain only. One patient had a traumatic brain injury and presented with quadriparesis. Results: 18 screws were placed in the 10 patients; 8 had bilateral screws, and 2 had a unilateral screw. There were no intraoperative or postoperative complications. The follow-up period ranged from 4 to 11years. All 10 patients had a solid bony fusion with good alignment of the atlantoaxial joint, as well as improvements in neck pain and myelopathy. Conclusions: The posterior transarticular screw fixation technique has been proven to be the best surgical method for the treatment of atlantoaxial instability in terms of immediate postoperative rigid fixation. When combined with posterior interspinous C1-C2 wiring, it offers a high bony fusion rate and can be regarded as the gold standard surgical technique. |
本系統中英文摘要資訊取自各篇刊載內容。