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![]() BODIU, Aurel, GHERMAN, Igor, DACIN, Ianuş, JARDAN, Mihaela. Dislocarea atlanto-axială ireductibilă. Tratament în două etape prin abord direct endoscopic transoral şi stabilizare posterioară internă. In: Curierul Medical, 2011, nr. 2(320), pp. 67-74. ISSN 1875-0666. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Curierul Medical | ||||||
Numărul 2(320) / 2011 / ISSN 1875-0666 | ||||||
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Pag. 67-74 | ||||||
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Irreducible Anterior Atlantoaxial Dislocation. Two-Stage Treatment via Direct Transoral Endoscopic Approach and Posterior
Internal Stabilization
Irreducible atlanto-axial dislocation with ventral spinal cord compression is difficult to treat. Traction is not uniformly successful at either
reducing the dislocation or decompressing the spinal cord. Direct anterior decompression of the spinal cord may be necessary, in addition
to the need for surgical stabilization of the upper cervical spine. Numerous methods have been described for surgical stabilization following
transoral decompression, which generally require a second-stage posterior instrumentation and fusion procedure. Complication rates remain
noteworthy for any of these strategies. |
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Cuvinte-cheie atlantoaxial dislocation, internal fixation, transoral, subluxation |
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Cerif XML Export
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Two-Stage Treatment via Direct Transoral Endoscopic Approach and Posterior Internal Stabilization Irreducible atlanto-axial dislocation with ventral spinal cord compression is difficult to treat. Traction is not uniformly successful at either reducing the dislocation or decompressing the spinal cord. Direct anterior decompression of the spinal cord may be necessary, in addition to the need for surgical stabilization of the upper cervical spine. Numerous methods have been described for surgical stabilization following transoral decompression, which generally require a second-stage posterior instrumentation and fusion procedure. Complication rates remain noteworthy for any of these strategies.</cfAbstr> <cfAbstr cfLangCode='RU' cfTrans='o'>Передняя атланто-аксиальная дислокация. Двухэтапное лечение посредством трансфарингеального эндоскопического доступа с последующим окципитоспондилодезом Атланто-аксиальные дислокации – травматические смещения между атлантом и аксисом, делятся на передние, задние и боковые. Передние дислокации атланта, в свою очередь, подразделяются на чреззубовидные и чрезлигаментарные. Учитывая частое несрастание таких переломов и опасность вторичных смещений атланта, в последнее время многие отдают предпочтение оперативному вправлению вывиха с последующим окципитоспондилодезом или атланто-аксиальным спондилодезом. Во многих случаях наблюдается надобность прямой передней декомпрессии посредством трансфарингеального доступа и стабилизации верхнего отдела позвоночника. 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