Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation

BMC Surgery

Research

Juan Du¹  Gaosheng Guo²  Fuxiang Nie²  Qiang Guo²  Xiang Li²  Pengfei Zhang²  Cheng Dong²  Haiyi He²  Kai Zhang²  Peng Li² 

[1] Department of Rehabilitation, Shiyan Renmin Hospital, 442099, Shiyan, China;Sanmenxia Central Hospital, Henan University of Science and Technology, 472000, Sanmenxia, China;

关键词: Fixation traction device;    Irreducible atlantoaxial dislocation;    Clinical operation;    Quality of life;   

DOI  :  10.1186/s12893-023-01957-0

 received in 2022-10-26, accepted in 2023-03-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIn order to improve the clinical medical technology, enhance the clinical effect and improve the disease detection rate, the clinical incidence rate of atlantoaxial dislocation and vertebral body malformation that are difficult to summarize is increasing year by year.MethodsA total of 80 patients with atlantoaxial dislocation deformity treated in our hospital from January 2017 to May 2021 are selected for this study. According to the number table method, 80 patients are randomly divided into the auxiliary group and the traditional group, with 40 cases in each group. The traditional group is treated with posterior atlantoaxial pedicle screw system internal fixation and intervertebral fusion, and the auxiliary implementation and application of a new head and neck fixation and traction device through nasal cannula and oral release decompression fixation for posterior fusion. The patients in the two groups are compared changes and differences in efficacy, spinal cord function index, pain score, surgery, and quality of life.ResultsCompared with the traditional group, the total clinical effective rate, cervical spine extension and flexion range of motion, physical function, physical function, psychological function, and social function in the auxiliary group are significantly improved. The operation time, intraoperative blood loss, and VAS score are significantly reduced (P < 0.05).ConclusionThe new head and neck fixation traction device can improve the surgical efficacy and quality of life of patients with irreversible atlantoaxial dislocation, enhance spinal cord function, reduce pain symptoms and surgical risks, and is worthy of clinical application.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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