不同类型枕颈畸形的手术方式选择及疗效分析.doc

126495324JOAJOA(P < 0.05)83%3(62.02±6.84)%(82.03±4.85)%(66.75±13.64)%1 ;12;1261 20053201281265868;1367(37.4±9.2)7424208358211;719(JOA)JOA-17=(-)×100% /(17-)XCTMRI(ADI) > 3 mm() > 5 mm()X > 3 mm2 2.1 3 kg5 kgXX1X;13 d3%342.2 12.2.1 69 cmC1C23C121721 mmC1C2C1C1C12123 mmCC2C2C122025 g2.2.3 C()2.3 1 d124 d( < 50 mL・d-1)3 dX35 d337 d361224X2.4 JOA2.5 SPSS 21.0tANOVALSD;χ2;α = 0.053 3.1 1372(37.4±11.2);4110220433(169.02±10.24)min(166.58±10.03)min(201.33±13.46)min;(237.47±21.63)mL(242.25±21.92)mL(327.88±16.27)mL2233.2 JOA(8.6±1.4)83%JOA(P < 0.05)(P > 0.05);(P > 0.05)33.3 23X8115 d414CT316 d21033.4 33(62.02±6.84)%(82.03±4.85)%(66.75±13.64)%(80%)44 4.1 12624;4.3 ;Jain167417714.9%;17;18-2021-23;4.4 ;1 Kirkham B.J.200919(7)502-505.2 Goel ADesai KIMuzumdar DP.Atlantoaxial fixation using plate and screw methoda report of 160 treated patientsJ.Neurosurgery200251(6)1351-1356.3 Wang CYan MZhou Het al.Atlantoaxial transarticular screw fixation with morselizedautograft and without additional internal fixationtechnical description and report of 57 casesJ.Spine200732(6)643-646.4 .J.200846(20)1557-1561.5 Wright NM.Posterior C2 fixation using bilateralcrossing C2 laminar screwcase series and technical noteJ.J Spinal Disord Tech200417(2)158-162.6 Lapsiwala SBAnderson PAOza Aet al.Biomechanical comparison of four C1 to C2 rigid fixative techniquesanterior transarticularposterior transarticularC1 to C2 pedicleand C1 to C2 intralaminar screwsJ.Neurosurgery200658(3)516-521.7 .J.201131(4)339-342.8 Sim HBLee JWPark JTet al.Biomechanical evaluations of various C12 posterior fixation techniquesJ.Spine(Phila Pa 1976)201136(6)E401-407.9 Ringel FReinke AStüer Cet al.Posterior C12 fusion with C1 lateral mass and C2 isthmic screwsaccuracy of screw positionalignment and patient outcomeJ.Acta Neurochir(Wien)2012154(2)305-312.10 Ruf MMelcher RHarms J.Transoral reduction and osteosynthesis C1 as a function-preserving option in the treatment of unstable Jefferson fracturesJ.Spine(Phila Pa 1976)200429(7)823-827.11 Bransford RChapman JRBellabarba C.Primary internal fixation of unilateral C1 lateral mass sagittal split fracturesa series of 3 casesJ.J Spinal Disord Tech201124(3)157-163.12 .J.200826(5)539-542.13 Zhang QHTeo ECNg HWet al.Finite element analysis of moment-rotation relationships for human cervical spineJ.J Biomeeh200639(1)189-193.14 .J.20068(2)189-190.15 .J.200212(l)5-8.16 Jain VKBehari SBanerji Det al.Transoral decompression for craniovertebral osseous anomaliesperioperative management dilemmasJ.Neurol India199947(3)188-195.17 .J.200424(5)290-294.18 .J.201333(6)628-634.19 Kakarla UKChang SWTheodore Net al.Atlas frac-turesJ.Neurosurgery201066(3 Suppl)60-67.21 Yin QSAi FZZhang Ket al.Transoralatlantoaxial reduction plate internal fixation for the treatment of irreducible atlantoaxialdislocationa 2 to 4-year follow-upJ.Orthop Surg20102(2)149-155.22 Ai FZYin QSXu DCet al.Transoral atlantoaxial reduction plate internal fixation with transoral transpedicular