| 齿状突切除术后颅颈连接不稳定的处理 |
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| 引用本文： | 张志强,闫东明,孙红卫,保建基. 齿状突切除术后颅颈连接不稳定的处理[J]. 中国临床神经外科杂志, 2004, 9(3): 161-163 |
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| 作者姓名： | 张志强 闫东明 孙红卫 保建基 |
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| 作者单位： | 郑州大学第一附属医院神经外科,河南,郑州,450052 |
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| 摘 要： | 目的探讨术前未能明确诊断，而齿状突切除术后颅颈连接不稳定的诊断和治疗方法。方法回顾性分析术后8例不稳定病例的诊断治疗经过。结果7例经枕下减压，枕颈融合固定取得了满意效果。无并发症及死亡病例。结论齿状突切除术后颅颈连接不稳定可以通过枕下减压，枕颈融合治疗。
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| 关 键 词： | 齿状突切除 颅颈连接不稳定 枕下减压 枕颈融合 |
| 文章编号： | 1009-153X(2004)03-0161-03 |
| 修稿时间： | 2003-12-30 |
Management of Instability of Craniocervical Junction after Odentoidectomy |
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| ZHANG Zhi-qiang,YAN Dong-ming,SUN Hong-wei,et al.. Management of Instability of Craniocervical Junction after Odentoidectomy[J]. Chinese Journal of Clinical Neurosurgery, 2004, 9(3): 161-163 |
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| Authors: | ZHANG Zhi-qiang YAN Dong-ming SUN Hong-wei et al. |
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| Affiliation: | ZHANG Zhi-qiang,YAN Dong-ming,SUN Hong-wei,et al . Department of Neurosurgery,First Affiliated Hospital,Zhengzhou University,Zhengzhou He'nan 450052,China |
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| Abstract: | Objective To explore the diagnosis and treatment of the instability of craniocervical junction after odentoidectomy. Method The clinical and imaging data of 8 patients, who suffered from the instability of the craniocervical junction after the odontoi-dectomy, were analyzed retrospectively. Results Seven patients with instability of craniocervical junction, who underwent operations of suboccipital decompression and occipitocervical fixation or bone grafting occipitocervical fusion, achieved satisfactory effect. There are no operative complications and death in all the patients. One patient with instability of craniocervical junction did not receive the operation. Conclusion The patients who suffered from postodontoidectomical instability of craniocervical junction can be treated by suboccipital decompression and occipitocervical fusion. |
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| Keywords: | Odontoidectomy Craniocervical junction instability Suboccipital decompression Occipitocervical fussion |
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