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- W2366087013 abstract "Objective:To evaluate the efficacy of preoperative skull traction and posterior occipitocervical reduction and fusion by poly-axial screw-rod system in managing patients with occipitalized atlas complicated with basilar invagination.Method:Five patients(3 males,2 females) with occipitalized atlas complicated with basilar invagination from January 2004 to February 2006 were treated surgically.The mean age at admission was 34.8 years old.All patients had obvious neurological deficits.The mean JOA score was 9.4 with the mean cervicomedullary angle of 109.4°.Four patients were complicated with irreducible atlantoaxial dislocation.All patients were given skull traction for 2~4 weeks prior to surgery.Once the atlantoaxial sagittal dislocation got 50% of reduction and odontoid process distraction got 4mm of reduction,posterior instrumentation and occipitocervical fusion with poly-axial screw-rod system was performed and followed by hard collar fixation for three months.Result:All patients had good reduction of C1-2 and the mean cervicomedullary angle had an increase of 32.4°,and solid bony fusion were evidenced in all patients ultimately.No intraoperative or postoperative complications were noted,all patients had significant neurological recovery.The follow-up period ranged from 12 to 24 months(average,16 months).The mean postoperative JOA score was 15.1 with the improvement rate of 75.0%.Conclusion:Pre-operative skull traction and posterior occipitocervical reduction and fusion with poly-axial screw-rod system is safe,simple and effective in managing patients with occipitalized atlas complicated with basilar invagination." @default.
- W2366087013 created "2016-06-24" @default.
- W2366087013 creator A5085159416 @default.
- W2366087013 date "2008-01-01" @default.
- W2366087013 modified "2023-09-23" @default.
- W2366087013 title "Treatment of occipitalized atlas complicated with basilar invagination by traction and posterior occipitocervical reduction and fusion" @default.
- W2366087013 hasPublicationYear "2008" @default.
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