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Atlas Pillow Deformity and Skull Base Sag Surgery Mode Selection

Zheng Hu-lin;Bai Lei;Chen Chen;Huo Long-wei;Wang Guo-wei;Shaanxi Yulin First Hospital;  
Objective To study atlas pillow deformity and skull base sag surgery mode selection. Methods The 65 cases of patients with atlas pillow deformity and skull base sag were selected as the research objects, 32 atlas pillow deformity and skull base sag patients, as observation group, were given oropharynx approach release stress fixed arthrodesis posterior neck pillow, 33 atlas pillow deformity and skull base sag patients, as control group, were given posterior cranial fossa decompression. Results Observation group total effective rate 93.75% was higher than control group 57.58%, the difference was statistically significant(P0.05); 2 weeks after treatment, clinical symptoms of 2 groups were much better than before treatment, ollow-up of 4~18 months, observation group had no relapse, control group had 25 recurrence relapse, compared with 2 groups, difference was statistically significant(P0.05). Conclusion For atlas pillow deformity and skull base sag surgery patients, to select oropharynx approach release decompression posterior neck pillow fixed fusion features effective clinical curative and low adverse reaction rate and the recurrence rate.
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