POSTERIOR OCCIPITOCERVICAL FUSION - A PRELIMINARY-REPORT OF A NEW TECHNIQUE

被引:92
作者
GROB, D
DVORAK, J
PANJABI, M
FROEHLICH, M
HAYEK, J
机构
[1] Department of Orthopedic Surgery, Spine Unit, W. Schulthess Hospital, Zürich
[2] Department of Neurology, Spine Unit, W. Schulthess Hospital, Zürich
[3] Department of Orthopedics and Rehabilitation, Yale University, School of Medicine, New Haven, CT
[4] Institute for Radiology, Zürich
关键词
UPPER CERVICAL SPINE; INTERNAL FIXATION IN OCCIPITOCERVICAL FUSION; TRANSARTICULAR ATLANTOAXIAL SCREW FIXATION; ATLANTOAXIAL INSTABILITY IN RHEUMATOID ARTHRITIS; REDUCTION OF ATLANTOAXIAL SUBLUXATION;
D O I
10.1097/00007632-199103001-00005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A new technique for occipitocervical fusion is described. The fixation of the upper cervical spine with plates and screws avoids the possible disadvantages of the commonly used wiring technique. By the establishment of a rigid fixation between the occiput and upper cervical spine with a combination of plates and screws, especially with transarticular atlantoaxial screw fixation, reliable, multidirectional, and immediate stability is achieved. The clinical picture and analysis of 14 patients with a variety of pathologies of the upper cervical spine is presented. The satisfactory outcome and solid bony fusion in all 14 patients and the absence of severe complications encourages the continued use of this technique of occipitocervical fusion.
引用
收藏
页码:S17 / S24
页数:8
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