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題 名 | 以Roosen Clamp椎板間固定治療不穩定性寰樞關節 |
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作 者 | 熊海明; 李良雄; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:1 1988.01[民77.01] |
頁 次 | 頁75-80 |
分類號 | 416.29 |
關鍵詞 | Roosen Clamp椎板; 固定治療; 不穩定性寰樞關節; |
語 文 | 中文(Chinese) |
中文摘要 | 榮民總醫院神經外科自74年10月起,在國內首先推用Roosen clamp手術治療不穩定性寰樞關節(atlarnto-axial instability)。其優點為手術後可立卽達到強固的穩定性,不僅大幅提高手術之安全性與成功率,同時也可免除使用體外固定器之痛苦。 |
英文摘要 | The standard surgical procedure for atlanto-axial instability includes a posterior approach with wire fixation and lateral mass fusion. However, complications such as post-operative recurrent instability, rupture of the wires, fracture of the spinous processes or vertebral arches often require repeated surgical interventions. In 1982, Roosen first published a description of a new surgical technique for dorsal interlaminar osteosynthesis at C l-2 in cases of atlanto-axial instability with differing causes. The new clamp guarantees an initial solid segmental stability, and obviates necessity for external fixation. Since October 1985, five cases of atlanto-axial instability (traumatic in two, rheumatoid in three) were surgically treated by insertion of a bone graft into the interlaminar space, and bilateral application of Roosen clamps. Almost complete correction of subluxation were achieved in all five patients. In the follow-up period of more than six months in all of the patients, the results were satisfactory in comparision with the other operative methods. In conclusion, Roosen clamp fixation combined with interlaminar fusion assures immediate stability and probably permanent immobilization of the atlanto-axial segment. This appears to be a valuable method of treatment for atlanto-axial instability resulting different causes. |
本系統中英文摘要資訊取自各篇刊載內容。