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kettymaggie新虫 (初入文坛)
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杂志：Orthopedics 题目：New Clinical Classification System for Atlantoaxial Dislocation. January 2013 - Volume 36 · Issue 1: e95-e100 |
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leimiao_hit
木虫之王 (文学泰斗)
小元
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【答案】应助回帖
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FN Thomson Reuters Web of Knowledge VR 1.0 PT J AU Xu, JJ Yin, QS Xia, H Wu, ZH Ma, XY Zhang, K Wang, ZY Yang, JC Ai, FZ Wang, JH Liu, JF Mai, XH AF Xu, JunJie Yin, QingShui Xia, Hong Wu, ZengHui Ma, XiangYang Zhang, Kai Wang, ZhiYun Yang, JinCheng Ai, FuZhi Wang, JianHua Liu, JingFa Mai, XiaoHong TI New Clinical Classification System for Atlantoaxial Dislocation SO ORTHOPEDICS LA English DT Article ID POLYAXIAL SCREW; CERVICAL-SPINE; DENS FRACTURES; FIXATION; REDUCTION; FUSION; DECOMPRESSION; SUBLUXATION; OPTIONS AB The purpose of this study was to define a new clinical classification of atlantoaxial dislocation based on its clinical manifestations, namely reducible atlantoaxial dislocation (RAAD), irreducible atlantoaxial dislocation (IAAD), and fixed atlantoaxial dislocation (FAAD). A total of 107 patients with atlantoaxial dislocation were respectively treated based on this clinical classification, including 66 patients with RAAD, 39 patients with IAAD, and 2 patients with FAAD. Six of the 66 patients with RAAD with rotatory atlantoaxial dislocation were treated with traction and a cervical collar, 9 with fresh type II dens fracture were treated with cannulated screw fixation, and 51 were treated with posterior atlantoaxial or occipitocervical arthrodesis. Thirty-eight patients with IAAD received a transoral atlantoaxial reduction plate system, and 1 with a giant cell tumor was treated with lesion resection and vertebral reconstruction by a shaped titanium mesh system followed by posterior occipitocervical screw-rod fixation. The 2 patients with FAAD underwent anterior decompression and received a transoral atlantoaxial reduction plate system. Follow-up data were obtained for a minimum of 6 months. All patients' neurological symptoms improved post-operatively. Bony union was accomplished by 3-month follow-up. Donor-site infection was found in 1 patient, with no occurrence of other complications. This article proposes a new classification of atlantoaxial dislocation indicating the severity and difficulty in reduction of the atlantoaxial joint. The classification system assists with decision making regarding therapeutic options. Transoral atlantoaxial reduction plate fixation and posterior atlantoaxial screw-rod fixation are commonly performed for atlantoaxial dislocation. C1 [Xu, JunJie; Yin, QingShui; Xia, Hong; Wu, ZengHui; Ma, XiangYang; Zhang, Kai; Wang, ZhiYun; Yang, JinCheng; Ai, FuZhi; Wang, JianHua; Liu, JingFa; Mai, XiaoHong] Liuhuaqiao Hosp, Dept Orthoped, Guangzhou, Guangdong, Peoples R China. RP Yin, QS (reprint author), Liuhuaqiao Hosp, Dept Orthoped, 111 Liuhua Ave, Guangzhou, Guangdong, Peoples R China. EM qingshui_yin@126.com NR 21 TC 0 Z9 0 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 USA SN 0147-7447 J9 ORTHOPEDICS JI Orthopedics PD JAN PY 2013 VL 36 IS 1 BP E95 EP E100 DI 10.3928/01477447-20121217-25 PG 6 WC Orthopedics SC Orthopedics GA 068DJ UT WOS:000313344400016 ER EF |
3楼2013-12-15 02:02:23
leimiao_hit
木虫之王 (文学泰斗)
小元
- SEPI: 7
- 应助: 1336 (讲师)
- 贵宾: 0.707
- 金币: 113738
- 散金: 12354
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- 沙发: 888
- 帖子: 85000
- 在线: 6307.5小时
- 虫号: 1264338
- 注册: 2011-04-13
- 专业: 蔬菜学与瓜果学
2楼2013-12-15 02:01:57
leimiao_hit
木虫之王 (文学泰斗)
小元
- SEPI: 7
- 应助: 1336 (讲师)
- 贵宾: 0.707
- 金币: 113738
- 散金: 12354
- 红花: 385
- 沙发: 888
- 帖子: 85000
- 在线: 6307.5小时
- 虫号: 1264338
- 注册: 2011-04-13
- 专业: 蔬菜学与瓜果学
4楼2013-12-15 02:03:44
kettymaggie
新虫 (初入文坛)
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- 专业: 骨、关节、软组织退行性病
5楼2013-12-16 16:13:30
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