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《China Modern Doctor》 2016-25
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Clinical study of non-fusion atlantoaxial internal fixation by cervical posterior approach in the treatment of anderson type Ⅲ fracture of odontoid process

WANG Lu;CHENG Cai;LI Shukui;LI Lingxia;Department of Orthopaedics, Cangzhou Central Hospital in Hebei Province;Department of Clinical Pharmacy, Cangzhou People's Hospital in Hebei Province;  
Objective To investigate the efficacy of non-fusion atlantoaxial internal fixation by cervical posterior approach in treating Ⅲ type fracture of odontoid process. Methods Improved non-fusion internal fixation by cervical posterior approach was given to the 18 patients with type Ⅲ fracture of odontoid process who were admitted in our hospital from March 2006 to March 2015. Results After follow-ups for 7-26(10.1±1.4)months, 18 cases of fracture of odontoid process were all healed. Among them, the clinical symptoms of 15 cases were completely diminished and 3 cases were obviously improved. No complications of spinal nerve injuries and no loosening or rupture of internal fixator were found. The cervical mobility after operation was good with significantly improved cervical JOA score. The good rate of postoperative efficacy was 88.9%. Conclusion Improved non-fusion internal fixation by cervical posterior approach in the treatment of type Ⅲ fracture of odontoid process is featured by minimal invasion and quick recovery, which also preserve the physiological function of atlantoaxial.
【CateGory Index】: R687.3
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