【摘要】 目的探索一种治疗齿状突引起疾病的新手术方法。方法本组病例经X线、CT、MRI、MRA检查确诊,采用远外侧入路的方法治疗,同时行齿状突切除和枕下减压并枕颈植骨融合术或枕颈内固定融合术。结果全组病例均获明显疗效,无病情加重或复发,均恢复工作和学习。结论远外侧入路能一次手术完成枕大孔区前后方减压并植骨融合内固定,是治疗齿状突引起的疾病的具有确切疗效的手术方法。更多还原

【Abstract】 Objective To report the treatment of six patients suffering from excision of cdontoid process by far-lateral cervical approach.Methods Excision of cdontoid process by far-lateral cervical approach was confirmed feasible by anatomy of the body.Diagnosis was made by X-ray,CT and CT-three dimensional image,MRI and MRA.All patients received excision of cdontoid process and suboccipital decompression and/or bone graft and occipitocervical fusion.Results All patients showed favorable outcome without deterioration or recurrence and marked progressive improvement of neurological disturbances,and six of them resumed work and study after operation.Conclusion Excision of cdontoid process by far-lateral cervical approach is a new surgical procedure by which anterior and posterior decompression of foramen occipitale magnun aria and bone graft(occipitocervical fusion stabilization) could be fulfilled during operation.更多还原