先天畸形性寰枢椎脱位知识讲稿.pptVIP

Congenital Atlanto-Axial Dislocation;Anatomy Definition Biomechanics Embryology and development Manifestations Diagnosis and differential diagnosis Treatment Prognosis;Anatomy;flexion-extension (FE) radiographs;Atlanto-Axial Dislocation 当寰椎向前或向后移位后，寰枢椎之间的连接组织在移位后的位置上仍保持相当的强度，使寰椎在移位后的位置上稳定，病人颈椎的伸曲动作不能改变寰枢椎的相对位置。脱位后脊髓往往受到枢椎椎体后上缘的静态压迫。 寰齿前间距：5mm为寰枢椎脱位;Definition;导致AAD容易发病的两大原因 ;Biomechanics;Embryology and development of CVJ;Resegmentation of somites to form sclerotomes and changesof sclerotomal primordia to mature vertebral parts;;;Etiology and pathogenesis;枕骨-寰椎先天性融合;颅底凹陷;齿状突发育不全