英文复杂寰枢椎脱位的诊治ppt课件.pptVIP

Celebration for the second WuHan international orthopedic peak forum ;Recognition and Treatment of Complex Atlantoaxial Dislocation;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;Treatment Methods ;Results;Typical Cases ;Diagnosis: Postoperation of basilar impression(posterior approach) Atlantoaxial dislocation Symptoms: paresis, deglutitio impedita, bucking for drink water, can not take food normally, taking nasogastric feeding tube daily. Imageology and complex factor: Bone scar rounding the dens, and the dens could not reduction normally, the brain stem and spinal cord were compressed.;YQS;Bone scar rounding the dens. ;Treatment: Transoral atlantoaxial reduction and fixation Special Treatment: Deeply grinding the callus that around the tooth of epistropheus, with sufficient solution for TARP-III surgery. Result: atlantoaxial got anatomy reduction, relief of cervical spinal cord compression after TARP internal fixation, Cornua of spinal cord was normal, and the funciton of the nerve function recover greatly, and could walk and swallow normally.;open mouth;YQS;YQS;Diagnosis: Malunion of the fracture of the dens, Atlantoaxial dislocation, Old fracture of articulatio mandibularis with joint stiffness. Symptoms: could not open mouth, paresis. Imageology and complex factor: The gastro of the cervical spinal cord was compressed. The articulatio mandibularis was stiffness. difficult in opening mouth;Transoral extended mandibulectomy for TARP surgery ;X-ray of postoperation at A-P Position ;MRI of Postoperation ;Diagnosis: Rupture of the ligamentum transversum, Atlantoaxial dislocation Symptoms: neck pain, limitation of motion. Imageology and complex factor: The diameter of the pedicle of vertebral arch of the atlantoaxial was too small, and the patien