查询词典 atlantoaxial

A combination of Gallie or Brooks techniques and 2 posterior transarticular screws has been shown to be effective for atlantoaxial arthrodesis.

背景概要：Gallie 或Brooks技术和两后路关节螺钉结合已被证明是有效的寰枢椎固定方案。

Results Plain X-ray diagnosis of basilar invagination in 2 cases ,ring pillows fusion deformity in 1 case,sudden strile dentate abnormalities in 1 case,2 case of atlantoaxial subluxation.

结果 X线诊断颅底凹陷症2例，环枕融合畸形1例，齿状突发育异常1例，2例寰枢关节半脱位。

Objective:To explore a new method to treat the irreducible atlantoaxial dislocation.

目的：探讨难复性寰枢关节脱位的手术治疗方法。

Methods 8 cases of atlantoaxial fractures and dislocations were treated with Apofix lamina clamp internal fixation.

对8例寰枢椎骨折、脱位患者采用Apofix椎板夹固定。

Results In 7 cases of odontoid process fracture, X-ray demonstrated 4 cases and CT demonstrated 5 cases, whereas the spiral CT reconstruction diagnosed 7 cases, which could display the displacement of fracture clearly. The X-ray and CT showed asymmetric space between left and right gaps of atlantoaxial joint in 6 cases, while spiral CT reconstruction showed normal and excluded the possibility of atlantoaxial dislocation. There was one case of lateral atlantoaxial joint dislocation, which was demonstrated by the spiral CT reconstruction clearly but not by the X-ray and CT scan. There were 3 cases of atlantoaxial congenital deformity (1 case of absence of both posterior arch of atlas and odontoid process and 2 cases of maldevelopment of the odontoid process), which were displayed clearly by spiral CT reconstruction, but misdiagnosed as odontoid process fracture and atlantoaxial subluxation by X-ray and CT scan.

结果 7例齿状突骨折中，X线显示4例，CT显示5例，CT重建确诊7例，且清楚显示骨折移位情况；6例X线、CT显示寰枢椎左右间隙不对称，通过CT重建排除寰枢关节半脱位；寰枢外侧关节脱位1例，CT重建可清楚显示，而X线片和CT平扫均未能显示；寰枢椎畸形3例，分别为齿状突、后弓缺如1例，齿状突发育不良2例，CT重建均能清楚显示，而X线、CT均误诊为齿状突骨折、寰枢椎半脱位。

OBJECTIVE: To evaluate the clinical outcomes of atlantoaxial pedicle screw system in the treatment of atlantoaxial instability from odontoid fracture.

目的：分析椎弓根钉棒系统治疗齿状突骨折引起寰枢椎不稳的临床疗效。

Posterior atlantoaxial transarticular screw fixation combined with wiring has been widely used for patients with reducible atlantoaxial subluxation.

经后路寰枢椎经关节螺钉联合钢丝固定已经广泛应用于可复位的寰枢椎半脱位患者。

［Objective］ To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion ［Method］ From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score ［Result］ All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found ［Conclusion］ Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。［方法］2005年12月至2007年6月间，对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间（12~16 d，平均135 d）后采用枕骨大孔后缘扩大，寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术，手术后采用日本骨科学会神经功能评分分析临床疗效。［结果］8例患者随访6个月~2年，平均为15个月。8例患者无一例出现术后并发症，术前寰齿前间隙为5~9 mm，经颅骨牵引后为5~7 mm，寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复，影像学检查示枕颈区减压充分植骨区获得骨性融合，无一例出现内固定松动或断裂。［结论］合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变，采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的，且临床效果满意。

The new idea, such as the"rotation"of atlas in 3 direction in some of AADs with intact axis, vertebrated odontoid, complete dislocation of AADs with detached odontoid, and differentiation of"dislocation of atlantoaxial joint"and"stenosis of canal"in atlantoaxial subluxation with detached odontoid, are established in this report.

1、本研究提出了一些新的概念，如枢椎完整型AADs时其寰椎在三个方向上的&旋转&脱位、椎体化齿突畸形、齿突不连型AADs的完全脱位、齿突不连的寰枢半脱位时&脱位&和&狭窄&的区分、枕大孔不规则狭窄等为本研究的新的发现或提出的新概念。

This series included 35 male and 22 female, and the mean age was 34.6 years (range, 13– 66 years). The pathology included atlantoaxial instability in 52 patients (os odontoideum in 26 patients, transerse ligament relaxation or disruption in 20, odontoid fracture nonunion in 6), and irreducible atlantoaxial dislocation in 5 (os odontoideum in 1 patient, transerse ligament relaxation in 1, malunion of odontoid process fracture in 3). Twenty-four patients presented signs and symptoms of spinal cord and/or brain-stem dysfunction.

这个系列包括35个男性病人和22个女性病人，平均年龄是34.6岁（范围，13~66岁）。52个病人是寰枢椎不稳（26例os odontoideum、20个横韧带松弛或破裂、6例齿状突骨折不连），5例不可复位的寰枢椎关节脱位（1例os odontoideum，1例横韧带松弛，3例齿状突骨折连接不正）。24例有脊索和脑干功能不良的症状和体征。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。