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首页> 外文期刊>Neurosurgery >Atlantoaxial fixation using plate and screw method: a report of 160 treated patients.
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Atlantoaxial fixation using plate and screw method: a report of 160 treated patients.

机译：板螺钉固定寰枢椎固定术：160例患者的报告。

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OBJECTIVE: We review our experience with the use of the plate and screw method of fixation in the treatment of 160 patients with atlantoaxial instability during a 14-year period at our center. We previously described this method of fixation in 1994. METHODS: Between 1988 and 2001, 160 patients with atlantoaxial instability were treated with the use of a plate and screw method of fixation at the Department of Neurosurgery at King Edward Memorial Hospital in Bombay, India. The study group was composed of 91 males and 69 females (mean age, 23 yr; age range, 18 mo-79 yr). Atlantoaxial instability was a result of congenital abnormality in 132 patients (83%) and occurred after trauma in 28 patients (17%). All patients had mobile, completely reducible atlantoaxial dislocation. For 3 months postoperatively, a hard cervical collar was used. The mean follow-up period was 42 months (range, 4 mo-14 yr). RESULTS: Three patients died in the postoperative phase. Successful stabilization of the atlantoaxial region wasdocumented with dynamic radiography in the other 157 patients. There was no incidence of implant rejection. In one patient, one screw was found to be broken 18 months after surgery; however, firm bony fusion was documented in this patient. There were no neurological, vascular, or infective complications. CONCLUSION: The plate and screw method of fixation with the use of intra-articular bone grafts in patients with atlantoaxial instability yielded a 100% fusion rate with a low incidence of complications.
机译：目的：我们回顾了我们的中心在14年间使用板螺钉固定方法治疗160例寰枢椎不稳患者的经验。我们之前曾在1994年描述过这种固定方法。方法：在1988年至2001年之间，印度孟买国王爱德华纪念医院神经外科采用板螺钉固定方法治疗了160例寰枢椎不稳患者。研究小组由91位男性和69位女性组成（平均年龄23岁;年龄范围18岁至79岁）。寰枢椎不稳是先天性异常的结果，在132例患者中占83％，在创伤后发生的28例患者中占17％。所有患者均患有活动性，完全可复位的寰枢椎脱位。术后3个月，使用坚硬的颈托。平均随访期为42个月（范围：4个月至14年）。结果：3例患者在术后阶段死亡。动态放射照相术记录了其他157例患者的寰枢区成功稳定。没有植入排斥反应的发生。一名患者在手术18个月后发现一颗螺钉断裂;但是，该患者有牢固的骨融合的记录。没有神经，血管或感染性并发症。结论：寰枢椎不稳患者采用板螺钉固定方法进行关节内植骨固定，融合率100％，并发症发生率低。

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