...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Spine >Occipitocervical fixation: long-term results.
【24h】

Occipitocervical fixation: long-term results.

机译：枕颈固定：长期效果。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

STUDY DESIGN: The study is a retrospective review of 58 patients who underwent occipitocervical fusion between 1997 and 2001. OBJECTIVES: Our objective is to study the clinical results after occipitocervical fixation with long-term follow-up and assess factors contributing to clinical success. METHODS: Data from patient charts, operative notes, physician office notes, and imaging studies were incorporated in the study. Myelopathy was assessed using a Nurick scale for preoperative and postoperative evaluation. Fusion was assessed using cervical plane films with flexion and extension views. RESULTS: Mean follow-up was 36 months, with all patients having a greater than 1-year follow-up. The most common pathology was congenital cranial settling (41%) followed by trauma (22%) and rheumatoid arthritis (17%). Myelopathy was the most common presentation (62%) followed by pain (28%). A successful fusion occurred in 48 out of 51 patients (94%). Symptoms improved in 86% of patients, whereas 35% improved 1 Nurick grade. Complications occurred in 30% of patients. The cervical wound infection rate was 5%. The rate of adjacent level degeneration was 7%. The mortality rate was 1.7%. CONCLUSIONS: Occipitocervical instrumentation allows for very high fusion rates without the need for halo vest immobilization. All patients with successful fixation have pain resolution. Myelopathy improves in most patients, whereas one-third of patients demonstrate dramatic improvement.
机译：研究设计：这项研究是对1997年至2001年间58例行枕颈融合术的患者的回顾性回顾。目的：我们的目的是通过长期随访研究枕颈融合术后的临床结果，并评估有助于临床成功的因素。方法：将来自患者图表，手术记录，医师办公室记录和影像学检查的数据纳入研究。使用Nurick量表评估脊髓病的术前和术后评估。使用具有屈曲和伸展视野的宫颈平面膜评估融合。结果：平均随访时间为36个月，所有患者均接受了大于1年的随访。最常见的病理是先天性颅脑沉降（41％），其次是创伤（22％）和类风湿关节炎（17％）。脊髓病是最常见的表现（62％），其次是疼痛（28％）。 51名患者中有48名（94％）成功融合。 86％的患者症状改善，而1 Nurick等级改善35％。 30％的患者发生并发症。宫颈伤口感染率为5％。邻近水平的退化率为7％。死亡率为1.7％。结论：枕颈仪器无需融合光晕背心即可实现很高的融合率。所有成功固定的患者均可缓解疼痛。多数患者的脊髓病得到改善，而三分之一的患者表现出明显的改善。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号