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- W3032708694 abstract "Objective To explore clinical efficacy of modified Brook's technique combined with posterior C1-2 transarticular screw fixation in the management of old odontoid fractures. Methods From January 2007 to June 2010,18 patients with old odontoid fractures were treated surgically by modified Brook' s technique combined with posterior C1-2 transarticular screw fixation in our unit.They were 12 males and 6 females with an average age of 41.8 years (from 21 to 68 years).By the Anderson-D'Alonzo classification,there were 15 cases of type Ⅱ and 3 cases of type Ⅲ.Among them,4 patients were complicated with brain injury and 3 patients with breast injury.The duration from injury to operation averaged 18.4 months,ranging from 41 days to 13 years. Results The average operative tine was 125 minutes (from 100 to 180 minutes) and the average blood loss was 250 mL (from 100 to 600 mL) in this series.No intraoperative injury occurred to the vertebral artery or to the spinal cord.All the patients were followed up for an average of 30.2 months (from 14 to 50 months).By the Mayo (McGrory) evaluation system,the postoperative clinical symptoms were rated as excellent in 7 cases,good in 9 cases and fair in 2 cases,with a good to excellent rate of 88.9％.The mean Visual Analogue Scale (VAS) score was improved significantly from preoperative 1.4 ±0.8 points to postoperative 5.3 ± 1.2 points ( t =15.853,P =0.000).The 6 patients complicated with neural injury obtained improvement by at least one grade.All the patients achieved bone fusion at 6 months postoperation,and no loosening,displacement or breakage of the screws was found in the follow-up.Conclusion As Modified Brook' s technique combined with posterior C1-2 transarticular screw fixation is a safe and reliable treatment of atlantoaxial instability,it can serve as a surgical option for old odontoid fractures.Key words: Bone nails; Dens axis; Fracture fixation; Spinal fusion" @default.
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- W3032708694 date "2012-03-15" @default.
- W3032708694 modified "2023-09-26" @default.
- W3032708694 title "Modified Brook's technique combined with posterior C1-2 transarticular screw fixation to treat old odontoid fractures" @default.
- W3032708694 doi "https://doi.org/10.3760/cma.j.issn.1671-7600.2012.03.005" @default.
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