摘要
作者报道５６例枕颈部畸形，施行寰椎后弓切除、枕骨大孔扩大减压及枕颈部自体骨植骨融合术。男性３５例，女性２１例，平均年龄３８．５岁。术后７２小时因呼吸衰竭死亡１例，其余均获随访，平均２７个月。获枕颈部骨性融合５３例。运动、感觉功能恢复正常或接近正常３１例，功能明显改善１９例，无变化４例，加重１例。作者认为，枕颈区不稳和颈脊髓压迫症直接源于该部畸形。畸形本身为不可逆性，而不稳定和脊髓压迫症是外科治疗的主要问题。
Fifty-sixpatientswithdevelopmentalmalformationoftheoccipital-atlanto-axisregionweretreatedwithresectionoftheposteriorarchoftheatlas,enlargementoftheforamenmagnumandbridgegraftingoftheoccipitalandaxis.Therewere35malesand21femaleswithanaverageageof38years.Onepatientdiedfromrespiratoryfailure72hoursaftertheoperation.55caseswerefolowed-upforanaverageof27months.Bonyunionwasobtainedin53cases.Themotorandsensoryfunctionswererecoveredin31cases,significantlyimprovedin19cases,noobviouschangein4casesandcondi-tionbecameworseinonecase.Deformityoftheoccipito-cervicalregioncausesinstabilityofthisregionandresultsincompressionofthecervicalspinalcord.Themalformationisinitselfirreversibleandthepurposeofsurgicaltreatmentistoimprovethestabilityanddecompression.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第7期451-454,共4页
Chinese Journal of Orthopaedics
关键词
枕颈畸形
外科手术
Occipital-atlanto-axisregionMalformationSurgicaltreatment
