陈旧性寰枢椎脱位并截瘫的治疗  

Treatment of old atlantoaxial dislocation with spinal cord compression

作　　者：刘景发[1] 孙博[2] 徐国州 黄华扬[1] 区锦华[1] 刘少喻[1] 钟世镇[2] 

机构地区：[1]广州军区广州总医院二外科,广东省广州市流花路111号510010 [2]第一军医大学解剖教研室

出　　处：《中国脊柱脊髓杂志》1993年第5期197-200,共4页Chinese Journal of Spine and Spinal Cord

摘　　要：１９８４年，作者对１５具尸体做了寰枢椎平面椎管及椎管内各组织问关系的测量分析，并观察了用２具尸体模拟齿状突骨折、寰枢椎脱位的情况。另外，对５０例正常人（１５～５８岁）的颈椎Ｘ线侧位片进行了测量。在上述基础上，于１９８４年～１９９２年对３４例陈旧性寰枢椎脱位并有脊髓压迫者主要采用了：（１）经日前路减压复位，（２）头颈双向牵引加后路寰枢椎融合术进行治疗，经平均４年的随访，疗效满意。尤其是第一种方法，可达到减压、复位的双重目的，重点对该术式的基本原理、术中预防椎动脉损伤及预防感染等手术相关问题作了讨论。In 1984, structrue of the atlantoaxial canal on fifteen cadavers was measured and simulated dislocation of the atlantoaxis was made on two cadavers. Normal lateral cervical radiograph of 50 cases was also measured. With the above--mentioned bases, 34 cases of old atlantoaxial dislocation were treated by two methods: (1)transoral anterior decompression and reduction: (2)two traction of the skull-neck and posterior fusion. All the patients were followed up for arerage 4 years. The results were quite satisfactory, no death and other serious complications. The first method was discussed mainly.

关 键 词：陈旧性 寰枢椎脱位 截瘫 

分 类 号：R683.205[医药卫生—骨科学]