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- W2393808139 abstract "Objective: To evaluate the biomechanical role of Hartshill Ransford loop in reconstructing the stability of occipito cervical junction and the effect of its clinical application.Methods: C 1～2 fracture dislocations were simulated on eight fresh cadeveric specimens,then these specimens were fixed with Hartshill Ransford loop,occipito cervial plate and posterior wiring randomly.Ranges of the three dimensional movements in different internal fixation group were compared.Thirty seven patients diagnosed as cranio cervical instability concomitant with spinal cord compressed were managed with spinal cord decompression and occipito cervical fusion with HR loop fixation.The x ray film in different duration after operation,the time from surgery to sold fusion,the neurological improvement and the failure of internal fixation were followed up.Results: In HR loop fixation group,ROM in flexion,extention,axial rotation and lateral bending were 5.6 , 5.4, 10.9 and 6.3 degrees respectively.It decreased 84.5%,113.5%,162%,179.4% respectively compared with posterior wiring group and decreased 161%,76.2%,129.1%,93.3% respectively compared with occipital cervical plate group.All patients were followed up for an average of 26 months.Bony union was obtained in all case and the average time from surgery to solid fusion was 3 months.The neurological improvement was satisfactory.Conclusion: HR loop can effectively reconstruct the stability of occipito cervical junction.The incidence of solid fusion was distinctively higher despite less postoperative immobilization.The HR technique is safe and simple." @default.
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- W2393808139 date "2003-01-01" @default.
- W2393808139 modified "2023-09-25" @default.
- W2393808139 title "Biomechanical evaluation and clinical application of occipto-cervial fusion fixed by Hartshill-Ransford loop" @default.
- W2393808139 hasPublicationYear "2003" @default.
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