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- W2372457754 abstract "Objective:To explore the surgical feasibility and clinical outcome of pedicle screw instrument in atlas.Method:42 cases with atlas dislocation followed by upper cervical spinal cord compression treated surgically with pedicle screw instrument via atlas were reviewed.Of these 16 cases with irreducible atlas dislocation were treated surgically with oral anterior soft tissue release combined with posterior reduction and pedicle screw instrument.Preoperative CT and radiograph as well as intraoperative screw placement and bone graft were administered in all cases.Cervical collars as external support were used.Result:A total of 84 screws were successfully placed in atlas.Of 42 cases,36 cases were followed up from 3 to 42 months(on an average of 18.6 months).Bony fusion were observed in all 36 cases within 3 to 6 months without the complications of internal fixation failure and redislocation of atlas.4 screws penetratied into medial rim of the vertebral artery foramen,but no vertebral artery injury was documented.Neurological recovery was improved significantly in 31 cases,better in 5 cases.Conclusion:Pedicle screw instrument in atlas has the advantages of direct screw placement,short- segment fusion,intraoperative reduction and high fusion rate,it is a better alternative for atlas dislocation." @default.
- W2372457754 created "2016-06-24" @default.
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- W2372457754 date "2006-01-01" @default.
- W2372457754 modified "2023-09-23" @default.
- W2372457754 title "Clinical application of pedicle screw instrument in atlas" @default.
- W2372457754 hasPublicationYear "2006" @default.
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