Atlas lateral mass screws and hand-axial pedicle screw implants Research and Application of.docVIP

 PAGE \* MERGEFORMAT 5 Atlas lateral mass screws and hand-axial pedicle screw implants Research and Application of Author: Hao Ding Jun, He Baorong, LEI Wei, Wu Qi Ning, HE Zeng-liang, ZHOU Jin-song [Keywords:] atlantoaxial Abstract: [Objective] To investigate the free-hand implantation of the atlas lateral mass screws and pedicle screw axis methods, summarized clinical application. [Methods] fresh adult specimens of the atlas and axis 50, men and women of 25, with long nose pliers to bite bite bone cortical bone except entrance point, has prepared respectively 15,25 mm Kirschner wire pin tract, and then a hammer cone along the guide carefully manufactured hit into the screw channel until there is a sense of frustration when you stop; atlas lateral mass screw entrance point chosen near the midpoint of the atlas tubercle after the opening 18 ~ 20 mm, with the lower edge of the posterior arch over 2 mm, intersection, nail Road, perpendicular to the direction of the coronal plane, sagittal plane screw head-end to the cephalic tilt of about 5 ° . Axial entrance point for the atlantoaxial facet under the roots of the mid-point, nail Road and sagittal plane angle of about 15 ° , cross-sectional angle of about 30 ° . Of clinical patients with atlantoaxial instability in 26 cases, 15 males and 11 females, with an average 395 years old; application of screw-rod system, 17 cases, 9 cases of screw-plate system. Preoperative JOA score 51 ~ 106 points, an average of 75 points. [Results] No one cases occurred after spinal cord and vertebral artery injury. Follow-up of 9 ~ 32 months, an average of 15 months, JOA score 129 ~ 165 points, an average of 145 points, to improve the rate of 876%. All bone block fusion without internal fixation fracture, loosening. [Conclusion] atlas lateral mass screws and hand-axial pedicle screw implantation technique is simple, reliable and worthy of promotion. Keywords:: Atlantoaxial; screw; hand techniques; internal fixation Abstract: [Obj