OCCIPITAL-AXIS POSTERIOR WIRING AND FUSION FOR ATLANTOAXIAL DISLOCATION ASSOCIATED WITH OCCIPITALIZATION OF THE ATLAS - TECHNICAL NOTE

被引:24
作者
JAIN, VK
TAKAYASU, M
SINGH, S
CHHARBRA, DK
SUGITA, K
机构
[1] NAGOYA UNIV,SCH MED,DEPT NEUROSURG,65 TSURUMAI CHO,SHOW KU,NAGOYA,AICHI 466,JAPAN
[2] SANJAY GANDHI POSTGRAD INST MED SCI,DEPT NEUROSURG,LUCKNOW,INDIA
关键词
ATLANTOAXIAL DISLOCATION; OCCIPITALIZATION OF THE ATLAS; SPINAL FUSION; CERVICAL SPINE;
D O I
10.3171/jns.1993.79.1.0142
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors present their technique of occipital-axis posterior wiring and fusion for atlantoaxial dislocation associated with an occipitalized atlas. The technique consists of drilling a 3 x 1-cm horizontal groove in the occipital bone 1 cm posterior to the foramen magnum and building up a bony bridge along the posterior margin of the foramen magnum. This bony bridge is referred to as an 'artificial atlas.'' Conventional wiring and fusion is performed between the artificial atlas and the C-2 lamina, interposing a strut bone graft. Since the compression force on tightening the wire is vertical, a very high degree of stability for the occipital-C-2 complex is achieved, facilitating early mobilization without postoperative redislocation.
引用
收藏
页码:142 / 144
页数:3
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