Atlas pedicle screw fixation of odontoid fracture Jefferson fracture Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 11 Atlas pedicle screw fixation of odontoid fracture Jefferson fracture Perioperative Nursing [Keywords:] atlantoaxial fractures of the pedicle screw fixation of odontoid fracture Jefferson Perioperative nursing Axis condylar fractures are the most common injury, accounting for 8% of all cervical spine fracture to 15%. With modern transportation and the rapid development of the construction industry, Jefferson fracture with severe traumatic odontoid fracture more and more common, improper handling can cause atlantoaxial dislocation, cervical spinal cord injury patients with crippling and even life-threatening. In the past treatment of occipital-cervical fusion surgery using the method, complete the activities of the expense of the upper cervical spine for stability and more complications. With the anatomy of the cervical spine in-depth research and pedicle screw technology continues to improve, the upper cervical spine pedicle screw fixation gradually used in clinical [1] .2002 December -2006 by our department in June pedicle screw atlantoaxial treatment of Jefferson fracture odontoid fracture combined 9 patients, for patients with odontoid fracture fixation provides a strong basis with a series of effective care, after good results and rapid recovery. Nursing now reported as follows. 1 Materials and Methods 1.1 General Information The group 7 males and 2 females, aged 23 to 58 years, average 39.6 years of age; have a clear history of trauma, cause of injury: fall injury in 3 cases, 2 cases of traffic accident, a fall in 4 cases. Injury to treatment time of 2h ~ 30 days, an average of 6 days. occipitocervical area are pain, limited mobility, different degrees of upper limb numbness, skin tingling, 2 cases with drinking water, eating a choking sense of resistance, 3 cases with lower limb numbness and muscle strength decreased. preoperative nerve function by JOA score was 8 to 15 minutes, with an average of 10.9 points, odontoid f