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| Guiding Effect of Magnetic Resonance Imaging in the Treatment of Patients with Reducible Atlantoaxial Dislocation |
| YAO Lidong, TIAN Huawei, LIU Jie, et al |
| Sanmenxia Hospital of the Yellow River in Henan Province, Henan Sanmenxia 472000, China |
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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.
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[1] 闫明,王超,王圣林.慢性寰枢关节旋转固定或脱位的临床及影像学特征-52例病例资料分析[J].中国脊柱脊髓杂志,2019,29(9):782~790.
[2] 李耀斌,白皓,刘趁心,等.后路减压植骨融合内固定治疗颅底凹陷合并难复位寰枢椎脱位的疗效观察[J].中国骨与关节损伤杂志,2020,35(1):30~32.
[3] 杨曦,雷云坤,孟祥进.椎弓钉联合钢板固定陈旧性寰枢椎不稳并神经损伤[J].中国矫形外科杂志,2020,28(24):2281~2283.
[4] 王先祥,张科,张义泉,等.后路关节松解撬拨复位治疗寰枢椎脱位[J].中国微侵袭神经外科杂志,2020,25(12):546~549.
[5] 徐嘉伟,李楠,杨宝辉,等.3D打印导航模板辅助置钉在儿童寰枢椎脱位治疗中的应用[J].生物骨科材料与临床研究,2020,17(4):12~15
[6] 张丽梅,徐艳,朱久勇.牵引治疗成人外伤性寰枢椎半脱位[J].中国骨伤,2020,33(9):883~886.
[7] 李新军,韩杨云,孙中书,等.改良寰枕减压术联合枕颈内固定术治疗Chiari畸形I型合并脊髓空洞症及寰枢椎脱位的疗效分析[J].中华神经医学杂志,2020,19(6):586~590.
[8] 胡安文,曹纬.全身麻醉后手法复位联合椎弓根螺钉内固定植骨融合术治疗AndersonⅡ型齿突骨折伴寰枢关节旋转性脱位交锁[J].脊柱外科杂志,2019,17(3):163~167,171.
[9] 丁崇学,范雁东,潘红利,等.直接后路加压器械撑开复位枕颈融合术治疗颅底凹陷症合并寰枢椎脱位的疗效[J].中国临床神经外科杂志,2020,25(6):348~351,406.
[10] 许国萍,余群飞,任英.不可复性寰枢椎脱位合并颈椎后纵韧带骨化症7例的围手术期护理[J].护理与康复,2020,19(10):36~38.
[11] 吴冬灵,谢亮文,刘瑞仁,等.标杆型3D打印导板在寰枢椎脱位治疗中的应用疗效及准确性研究[J].中华骨与关节外科杂志,2020,13(2):138~142. |
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2021, Vol. 27 
