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- W2368016769 abstract "Objective:To explore the surgical feasibility and clinical outcome of atlantoaxial pedicle screw instrumentation for the treatment of Jefferson fracture associated with odontoid fracture.Method:From December 2002 to June 2006,9 cases suffered with Jefferson fracture combined with odontoid fracture were included in this study.There were 7 males and 2 females,with a mean age of 39.6 years old(ranged 23 to 58 years old).6 cases were fresh fractures,3 were old fractures.The odontoid fractures were classified according to Anderson and D′Alonzo,which included Anderson Ⅱ for 8 cases and Anderson Ⅲ for 1 case.JOA scores of neurological function in preoperation were from 8 to 15,with an average of 10.9.The examination of X-ray film and SCT and skull traction were performed in each patient preoperatively.All cases underwent atlantoaxial pedicle screw instrumentation under general anesthesia.Result:No severe complications such as injuries to vertebral artery,nerve root and spinal cord intraoperatively or deterioration of spinal cord injury was observed postoperatively.There were 7 cases with complete reduction,and 2 cases with incomplete reduction.The mean off-bed time was 4 days(from 3 to 6 days) after operation.All cases were followed up from 6 to 24 months,averaging 15 months.The clinical symptom improved significantly 6 months postoperatively.The X-ray and SCT scans verified all cases had solid bony union and all screws were in the properposition,no loosening or breaking of instrument were observed.The JOA scores at one year postoperatively were from 13 to 17,with an average of 15.9,with the average improve rate of 85.3%.Conclusion:The C1-C2 pedicle screw fixation has the advantages of direct screw placement,short-segment fixation,intraoperative reduction and high fusion rate,which could be used as an effective method for Jefferson fracture associated with odontoid fracture." @default.
- W2368016769 created "2016-06-24" @default.
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- W2368016769 date "2008-01-01" @default.
- W2368016769 modified "2023-09-23" @default.
- W2368016769 title "The application of C1-C2 pedicle screw fixation in Jefferson fracture associated with odontoid fracture" @default.
- W2368016769 hasPublicationYear "2008" @default.
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