Abstract：Objective: To explore the effect of MRI on the diagnosis and treatment of patients with reproducible atlantoaxial dislocation. Methods: 94 patients with reversible atlantoaxial dislocation admitted in our hospital from January 2017 to January 2020 were selected as the test subjects and the clinical data were reviewed. The patients were examined by magnetic resonance, according to whether the front of the spinal cord was compressed. The incidence of postoperative complications, spinal cord compression index and JOA score of patients with reducible atlantoaxial dislocation were statistically analyzed. Results: There were 3 cases of vertebral artery injury, 6 cases of vascular injury and 2 cases of nerve injury in the observation group, and 1 case of vertebral artery injury and 2 cases of vascular injury in the control group; The incidence of postoperative complications in the observation group was higher than that in the control group (P<0.05). The decrease of spinal cord compression index in the observation group before and after operation was greater than that in the control group (P<0.05), and the decrease of spinal cord compression index in the last follow-up and before operation in the observation group was also greater than that in the control group (P<0.05). The JOA score of the observation group before and after operation increased more than that of the control group (P<0.05), and the JOA score of the observation group at the last follow-up and before operation also increased more than that of the control group (P<0.05). In the observation group, 18 cases were cured, 16 cases were markedly effective, and 4 cases were ineffective. In the control group, 26 cases were cured, 14 cases were markedly effective, and 16 cases were ineffective. The total effective rate of the observation group was significantly higher than that of the control group (P<0.05). Conclusions: Magnetic resonance can help to judge whether the patients with reducible atlantoaxial dislocation are compressed to a certain extent, so it has high reference significance for patients to take reducible atlantoaxial reduction surgery whether to take decompression operation, which is suitable for clinical promotion.
姚立东, 田华卫, 刘洁, 张文婧. 磁共振对可复型寰枢椎脱位患者治疗的指导效果[J]. 河北医学, 2021, 27(7): 1182-1185.
YAO Lidong, TIAN Huawei, LIU Jie, et al. Guiding Effect of Magnetic Resonance Imaging in the Treatment of Patients with Reducible Atlantoaxial Dislocation. HeBei Med, 2021, 27(7): 1182-1185.
2021, Vol. 27 
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