Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Chinese Journal of Orthopaedics》 2003-10
Add to Favorite Get Latest Update

The anterior fixation of odontoid process fracture by single canulated compressive screw

LIU Shao-yu, LIANG Chun-xiang, CHEN Bai-ling, et al. Department of Spinal Surgery, Huangpu Division of First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510700, China  
Objective To compare the clinical effectiveness of fixations of odontoid process fractures preliminarily with anterior single one-threaded and double-threaded canulated compressive screws. Methods From April 1997 to April 2003, 20 cases of odontoid process fracture were fixed internally by anterior approach with single canulated compressive screws. The patients were all males with the age of 18 to 56 years. All the patients had a history of head trauma prior to fracture. The interval from injury to diagnosis was averagely 3.7 days ranging from 0 to 8 days. All of the patients complained of pain in posterior part of neck, and 6 cases with mild numbness of both hands. Of these cases, 16 were Anderson type Ⅱ and 4 were shallow type Ⅲ. 18 fractures were dislocated less than 25%, while 3 patients were associated with unilateral intervertebral joint avulsed fracture. As the diagnosis were established, skull traction were installed at once. Only after the fracture was reduced and became stable more than 5 days confirmed by bedside X-ray examination, could the operation be performed. 12 cases were fixed with one-threaded canulated compressive screws, and the other 8 with double-threaded canulated compressive screws. The operation time, blood loss, fracture healing and the cervical motion function were evaluated respectively. Results The operation times of the two groups were from 110 to 150 minutes (average, 125 minutes). The blood losses during operation were from 20 to 100 ml (average, 42 ml). There was no operative complication with wound healed well in the two groups. The follow-up were from 2 to 72 months with an average of 14.7 months. The fractures of 19 cases healed in an average 12.7 weeks, one of them was delayed union lasted to 17 weeks. The cervical motion function of 17 cases recovered completely after fracture union. The 3 cases associated with intervertebral joint avulsed fractures reminded mild limitation in cervical rotation by 20%. There was no difference between the two kinds of screws regarding to the operation time, blood loss, fracture healing, and cervical motion. Conclusion The effects of internal fixations of the odontoid process fractures are satisfactory either with the single one-threaded canulated compressive screw or the single double-threaded canulated compressive screw.
【CateGory Index】: R687
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
【References】
Chinese Journal Full-text Database 7 Hits
1 PAN Jian-cheng1,GONG Xu1,HE Qing-yi2△(1.Department of Ortopaedics,the 181st Hospital of PLA,Guangxi Guilin 541002,China;2.Corresponding Author:Department of Orthopedics,Southwest Hospital,Third Military Medical University,Chongqing 400038,China);TypeⅡ fresh odontoid fracture via anterior odontoid cannulated screw[J];Chongqing Medicine;2008-18
2 Liu Xiaolan,Luo Weimin,Liu Sheting,et al.Depatment of Spinal Surgery,the First Hostipal of Chenzhou City,423000;Operative Treatment of Odontoid Fracture with Atlantoaxial Dislocation[J];The Journal of Bone and Joint Injury;2005-02
3 LIN Bin, GUO Lin-xin, LIAN Ke-jian, GUO Yan-jie, CHEN Zi-feng, GUO Zhi-min, LIU Qing-jun, LI Yang (Dept of Orthopaedics, the 175th Hospital of PLA, Zhangzhou, Fujian 363000, China);The comparative study of microendoscopic discectomy system and anterior open approach in the treatment of internal fixation of odontoid fracture with cannulated screw[J];Journal of Clinical Orthopedics;2005-01
4 HU Yong,XU Rong-ming,MA Wei-hu,et al (Department of Orthopaedics,Ningbo NO.6 Hospital,Zhejiang 315040,China);The Analysis of Curative Effect of Anterior Odontoid Screw Fixation for Treating Type Ⅱ and Shallow Type Ⅲ Odontoid Fractures[J];Journal of Practical Orthopaedics;2008-05
5 CHEN Chao,GUAN Honggang (Department of Orthopaedics,the Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China);Application and Clinical Efficacy of Anterior Compressive Screw System Fixation in the Treatment of Odontoid Fracture[J];Clinical Medicine & Engineering;2010-04
6 CHEN Zhi-wen,LIN Bin,GUO Zhi-min,WANG Wei.Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China;Perioperative management in treating odontoid process fracture with hollow screw fixation under diskoscope[J];China Journal of Orthopaedics and Traumatology;2007-11
7 HAN Guo-wei,LIU Shao-Yu,ZHAO Wei-Dong,et al.Department of Orthopaedics,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Biomechanical study on internal fixations with a single cannulated one-threaded or double-threaded screw for the treatment of Type II odontoid fractures[J];Chinese Journal of Clinical Anatomy;2007-03
【Citations】
Chinese Journal Full-text Database 2 Hits
1 JIN Dadi, CHEN Jianting,QU Dongbin,et al Department of Orthopaedic Surgery,Nanfang Hospital,The First Military Medical University,Guangzhou 510515;Direct Anterior Fixation of Dens Fracture With a Cannulated Screw System[J];CHINESE JOURNAL OF ORTHOPAEDICS;1999-08
2 LIU Shaoyu, LIU Jingfa, HUANG Shandong, et al. Department of Orthopaedics, Guangzhou General Hospital of PLA, Guangzhou 510010, China;Application of guide wire localization apparatus for internal fixation of dens fractures[J];Chinese Journal of Orthopaedics;2001-04
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 HUANG Wei-bing,CHEN Zhuang-hong, HUANG Ji-feng, CAI Xian-hua. Department of Orthopaedics,Wuhan General Hospital of Guangzhou Military Command of PLA,Wuhan 430070 Chian;Anatomic study and clinical application of anterior hollow screw fixation in the treatment of odontoid fracture[J];Anatomy Research;2006-03
2 Guo Yanjie,Lin Bin,Lian Kejian,et al.Department of Orthopaedics,the 175th Hospital of PLA,Zhangzou,363000;Radiographic Measurement and Direct Hollow Screw Internal Fixation for Type Ⅱ Odontoid Process Fracture[J];The Journal of Bone and Joint Injury;2004-03
3 XU Feng , CHEN Zhuang-hong , CAI Xian-hua ,et al. Department of Orthopaedics, Wuhan General Hospital, Guangzhou Command ,PLA, Wuhan Hubei 430070, China;Anterior Internal Fixation with Hollow Screws for Dontoid Process Fractures[J];Military Medical Journal of South China;2007-03
4 FANG Yong chao reviewing , WANG Yu rong,ZHAO Jian ning, WU Su jia checking (Department of Orthopaedics,Nanjing General Hospital of Nanjing Command/Clinical School of Medical College of Nanjing University, Nanjing 210002,Jiangsu,China);Therapeutic research progresses of odontoid process fracture[J];Journal of Medical Postgraduates;2003-09
5 Zhang Junhui,Song Yaohua ( Department of Anatomy,Medical School,Shaoxing College of Arts and Technology,Shaoxing 312000 );APPLIED ANATOMY OF THE DENS FOR ANTERIOR FIXATION OF DENS FRACTURE WITH A SCREW SYSTEM[J];Chinese Journal of Anatomy;2001-02
6 LIU Shaoyu, LONG Hou- qing, LI Fobao, et al. Department of Spinal Surgery, Huangpu Division of First Affiliated Hospital, Sim Yat-Sen University, Guangzhou 510700, China;The anterior fixation of odontoid process fracture by one doable - threaded canulated screw[J];Journal of Spinal Surgery;2004-03
7 PAN Bing, WANG Zhao, DAI Liaoyuan. Department of Orthopaedic Surgery, 117th Hospital of PLA, Hangzhou 310013, China;Anterior fixation of odontoid fracture with a cannulated srew system[J];Journal of Spinal Surgery;2008-01
8 LIN Bin, GUO Lin-xin, LIAN Ke-jian, GUO Yan-jie, CHEN Zi-feng, GUO Zhi-min, LIU Qing-jun, LI Yang (Dept of Orthopaedics, the 175th Hospital of PLA, Zhangzhou, Fujian 363000, China);The comparative study of microendoscopic discectomy system and anterior open approach in the treatment of internal fixation of odontoid fracture with cannulated screw[J];Journal of Clinical Orthopedics;2005-01
9 CHEN Zhuang-hong,CAI Xian-hua,HUANG Ji-feng,et al.(Department of Orthopaedics,Wuhan General Hospital of Guangzhou Command of PLA,Wuhan 430070,China);Anterior screw system fixation for odontoid fracture[J];Journal of Clinical Surgery;2004-12
10 WANG Hong1, CAI Jie1, LUO Shan1, SUN Shuhua2, WANG Fang1, DONG Dan1(1. Dept. of Orthopaedics; 2. Dept. of Nursing Administration, Wuhan General Hospital of PLA, Wuhan 430070, China);Nursing of patients with odontoid fracture treated with internal fixation by anterior single hollow screw[J];Nanfang Journal of Nursing;2005-05
China Proceedings of conference Full-text Database 1 Hits
1 Tian Jiwei,Wang lei,Dong Shuanghai,Zhao Qinghua,Xia Tian,Wu Zhenkai,Wangzhen (Department of Orthopaedic Surgery,Shanghai First Peoples' Hospital,Shanghai Jiaotong University Affiated First Peoples' Hospital,Shanghai 201620,China);Clinical analysis of surgical treatment of odontoid fracture[A];[C];2009
【Co-references】
Chinese Journal Full-text Database 10 Hits
1 Yang Shuangshi,Liu Jingfa, et al. Department of Spinal Surgery,General Hospital of Guangzhou Milltry Region, Guangzhou,510010;A Comparative Study of Three Direct Screw Fixation Techniques for Type II Fractures of the Dentoid Process of Axis[J];The Journal of Bone and Joint Injury;1996-04
2 Dai Liyang, Jia Lianshun, Ni Bin et al. Department of Orthopaedics, Changzheng Hospital, The Second Military Medical University, Shanghai, 200003.;Old Odontoid Process Fractures[J];The Journal of Bone and Joint Injury;1998-04
3 Dai Liyang,M.Millgram,Y.Floman.Department of Orthopaedics ,Changzheng Hospital,The Second Military Medical University,Shanghai,200003;Anterior Screw Fixation of Odontoid Fractures in Adults[J];The Journal of Bone and Joint Injury;2000-01
4 Ma Xiangyang, Zhong Shizhen , Liu Jingfa ,et al. Department of Orthopaedics , The 157 th Hospital of PLA , Guangzhou ,510510;Anatomic Study of The Atlas Pedicle Screw Entry Point[J];The Journal of Bone and Joint Injury;2003-10
5 Guo Yanjie,Lin Bin,Lian Kejian,et al.Department of Orthopaedics,the 175th Hospital of PLA,Zhangzou,363000;Radiographic Measurement and Direct Hollow Screw Internal Fixation for Type Ⅱ Odontoid Process Fracture[J];The Journal of Bone and Joint Injury;2004-03
6 Liu Xiaolan,Luo Weimin,Liu Sheting,et al.Depatment of Spinal Surgery,the First Hostipal of Chenzhou City,423000;Operative Treatment of Odontoid Fracture with Atlantoaxial Dislocation[J];The Journal of Bone and Joint Injury;2005-02
7 ZOU Jun reviewing,WANG Yurong, ZHAO Jianning,WU Su jia checking (Department of Osteology, Jinling Hospital, Nanjing 210002,Jiangsu China);Research progresses of atlas fracture[J];Bulletin of Medical Postgraduate;2001-02
8 Zhang Junhui,Song Yaohua ( Department of Anatomy,Medical School,Shaoxing College of Arts and Technology,Shaoxing 312000 );APPLIED ANATOMY OF THE DENS FOR ANTERIOR FIXATION OF DENS FRACTURE WITH A SCREW SYSTEM[J];Chinese Journal of Anatomy;2001-02
9 YIN Qingshui, AI Fuzhi ,ZHANG Kai,et al. Department of Orthopedics, Guangzhou General Hospital of PLA, Guangzhou 510010, China;Design and preliminary clinical application of transoralpharyngeal atlantoaxial reduction plate[J];Journal of Spinal Surgery;2004-01
10 Chen Zonghe, Lu Wei, Chen Gang, Hu Juhua;Application of Halo-Vest braces in cervical vertebrae joint instability[J];JOURNAL OF CLINICAL ORTHOPAEDICS;2000-03
【Secondary References】
Chinese Journal Full-text Database 7 Hits
1 LI Chun,CHEN Hai,LU Yu-yan,WU Dong-yong (Graduated School of Guangxi Medical University,Nanning,Guangxi 530022,China);Percutaneous anterior cannulated screw fixation for type Ⅱ odontoid fractures[J];Journal of Clinical Orthopaedics;2008-06
2 SONG Chang-zhi,ZHENG Min-qian,WANG Si-qing,et al (Department of Orthopaedics,The First People′s Hospital of Yancheng,Jiangsu 224001,China);Clinical Study on the Anterior Approach Hollow Screw Fixation in the Treatment of Odontoid Fracture in Type Ⅱ[J];Journal of Practical Orthopaedics;2009-12
3 DONG Zhi-yong,Ma Xun(Department of Orthopedics,the 2nd Hospital of Shanxi Medical University,Taiyuan 030001,China);Odontoid Process Fracture with Internal Fixation[J];Journal of Practical Orthopaedics;2011-07
4 Kang Jian-ping,Feng Da-xiong,Wang Qing(Department of Orthopaedics,Affiliated Hospital of Luzhou Medical College,Luzhou 646000,Sichuan Province,China);Vertex technique for treatment of atlantoaxial instability:Clinical outcomes and implant features[J];Journal of Clinical Rehabilitative Tissue Engineering Research;2007-01
5 Guo Jiexin,Wu Qili;Nursing in anterior approach fixation of dens fracture with a cannulated screw system[J];Modern Clinical Nursing;2008-05
6 DENG Zhan-sheng, XU Yu-xia, Zhang Hong-qi, HU Jian-zhong, WANG Xi-yang, ZHOU Quan, YE Chuan, WU Jian-huang, QUAN Bi-chun, XU Zi-li (Department of Spinal Surgery, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R.China);Surgical management for traumatic instability of upper cervical spine[J];China Medical Engineering;2007-10
7 CHEN Zhi-wen,LIN Bin,GUO Zhi-min,WANG Wei.Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China;Perioperative management in treating odontoid process fracture with hollow screw fixation under diskoscope[J];China Journal of Orthopaedics and Traumatology;2007-11
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 JIN Dadi, CHEN Jianting,QU Dongbin,et al Department of Orthopaedic Surgery,Nanfang Hospital,The First Military Medical University,Guangzhou 510515;Direct Anterior Fixation of Dens Fracture With a Cannulated Screw System[J];CHINESE JOURNAL OF ORTHOPAEDICS;1999-08
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved