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題名:One-Stage Posterior Decompression and Stabilization of the Atlanto-Axial-Subaxial Cervical Spine     (14點)
單次寰、軸、軸椎以下從後位之頸椎減壓及固定手術
著者:Sai-Cheung Lee(李世祥) ;Shih-Tseng Lee(李石增)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:cervical spine ; posterior decompression ; lateral mass ; spinal fusion ; transarticular screws
刊名:Formosan journal of surgery
卷期:36卷1期(2003.2)
頁碼:5-11
語言:英語
摘要: 英文摘要PDF

Objective: The aim of this study is to evaluate the results of decompression and stabilization of the unstable atlanto-axial-subaxial cervical spine using a one-stage posterior approach surgical method. Methods: Eight patients included seven men and one woman, whose ages ranged from 27 to 74 years, with an average of 51.8 years with either CI-2-3 or CI-2-3-4 instability were included in this study. AII patients received a one-stage operation, including posterior approach CI-C2 transarticular screws and subaxial cervical spine lateral mass plates and screws fixation with or without cervicallaminectomy. Results: Eight to eighteen months after the surgery, the follow-up revealed neither neurological deterioration nor hardware failure. The outcome was satisfactory. Conclusions: The combination of CI-C2 transarticular screws with subaxial lateral mass plates and screws fixation does not require the lamina as a stabilizing anchor. In cases of incompetence of the posterior elements or if a decompression laminectomy procedure is necessary, posterior decompression and instrumentation fixation can be performed in a one-stage surgery. We believe that the CI-C2- transarticular screws-subaxial lateral mass plates and screws procedure is a good alternative method in treating the unstable atlanto-axial-subaxial cervical spine.


    

本卷期目次
Formosan journal of surgery 36卷1期 (2003.2)
Gastrointestinal Complications after Ruptured Aortic Aneurysm Repair/ Vijay K. MittalN.K. DurraniVijay TrisalS.S. Hans
Male Breast Cancer/ Hung-Bun LamTsen-Long YangChien-Liang Liu
Complications of Totally Implantable Central Venous Access Port/ Po-Hung LeeChien-Liang LiuKuo-Shyang JengTsen-Long Yang
Hand-Assisted Laparoscopic Resection of A Retroperitoneal Schwannoma--A Case Report/ Chin-Ming SuYii-Her ChouChing-Chia LiHung-Jen WangChun-Hsiung Huang
Duct of Luschka--A Case Report/ Hen-Yu TungChau-Kai HuYeh-Chiu Lu
Spontaneous Hemoperitoneum in Children--Report of Two Cases/ Tune-Yie ShihChing-Nan Lin
Traumatic Abdominal Wall Hernia--A Case Report/ Tai-Chien HuangShyr-Ming Sheen-ChenShih-Chi Wu
A Pediatric Case of Subcutaneous Sparganosis/ Yu-Li LinChien-Hsing LeeWen-Tsung HungHuei-Mei Chang
Struts Fracture with Renal Vein Penetration and Migration of A Greenfield Vena Cava Filter--A Case Report/ Shou-Hung TangYi-Ting TsaiChih-yuan LinGuo-Chen LiChien-Sung Tsai
One-Stage Posterior Decompression and Stabilization of the Atlanto-Axial-Subaxial Cervical Spine/ Sai-Cheung LeeShih-Tseng Lee
 
   
 
   

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