英文复杂寰枢椎脱位的诊治课件.pptVIP

Celebration for the second WuHan international orthopedic peak forum Recognition and Treatment of Complex Atlantoaxial Dislocation The Orthopedic Hospital of General Hospital of Guangzhou Commond Qing-shui Yin, Hong Xia, Zeng-hui Wu, Xiang-yang Ma, Kai Zhang, Jian-hua Wang, Fu-zhi Ai, Xiao-hong Mai, Lei Wan Concept The atlantoaxial dislocation that complicating with other complex factors, and can not be treated with conventional method was denominated as Complex Atlantoaxial Dislocation. Information and Method 74 cases, 36 male, 38 female, with average age of 34 years( 2 to 54 years) Complex congenital abnormality 39 cases Osteoporosis 7 cases The diameter of the pedicle of vertebral arch of the atlantoaxial was too small 8 cases Rebuilding of the redislaction after the operation of atlantoaxial 10 cases Treatment Methods Different especial treatment was used to treat different complex condition. TARP-III surgery (Transoral anterior approach for the fixation of C2 with the antidromic pedicle screw Deep grinding decompression technology with TARP-III surgery Posterior atlantoaxial screw and stick fixation of lateral mass of C1-2 and lamina of axial Transoral extended mandibulectomy for TARP surgery Transoral extended palate for enlarging approach for the severe invaginated tooth of epistropheus Precise personal surgery with the guidance of CAD-RP technology Revision for TARP surgery The therapeutic principle and purpose were reduction, decompression and stabilization still. Results 68 cases got anatomy reduction, 6 cases got close to anatomy reduction, and all of them got sufficient decompression. The improvement rate of canalis vertebralis decompression reached at 86%, and the improvement rate of spinal cord function reached at 77.8% Complications: 3 cases of intracranial infection because of leakage of cerebrospinal fluid, and two of them were healing well after intrathecal injection for one month. 1 case of delayed infection (6 weeks after sugery),