枕枢的

The atlanto-axial joint disorder is a idiopathy that the micro-transposition from atlanto-axial joint to atlanto-occipital joint and the injury , strain and anaplasia of the peripheral issue leads to stoke, diziness, vomiting,etc. The old people happen frequantly, eapecially the workers hung the head do.

寰枢关节紊乱是以寰枢关节为中心，以寰枢关节及寰枕关节的微小错位及其周围组织的损伤、劳损、退行性改变等病变所产生以头痛、眩晕、恶心为主症的特发性病症，多发生于中老年人，尤其以低头位工作者为多。

Apofix technigue was used to treat 17 cases of fresh odontoid fracture and 1 case of old odontoid fracutre.

采用Apofix椎板钩治疗新鲜齿状突骨折17例，陈旧性骨折1例，均伴有寰枢椎不稳，并有不同程度的枕颈部疼痛，活动受限。

Objective To observe the effect of occipitocervical fusion for old atlanto-axial joint dislocation under fixation of Halo frame.

目的 观察在Halo架固定下枕颈融合治疗陈旧性寰枢关节脱位的效果。

The various treatment options available for these patients are isolated C1–C2 fusion, occipitocervical fusion with or without transoral surgery.

治疗选择多样有单独的寰枢椎融合，枕颈融合，经口或不经口的手术。

Objective Toobserve the effect of occipitocervical fusion for old atlanto-axial joint dislocationunder fixation of Halo frame.

目的 观察在Halo架固定下枕颈融合治疗陈旧性寰枢关节脱位的效果。

［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。

Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

Lugalbanda 是神和被崇拜了一千年多 Uruk古埃及喜克索王朝国王。

I am coming just now,' and went on perfuming himself with Hunut, then he came and sat.

我来只是现在，'歼灭战perfuming自己与胡努特，那麼，他来到和SAT 。