[Research progress on reatment of unstable atlas fracture with single-segment fixation by transoral approach].
Zhongguo Gu Shang. 2017 Jan 25;30(1):93-96
Authors: Wang LR, Zhao LJ, Ma WH
As a standard kind of fracture in cervical, atlas fracture is often unstable as a consequence of its particular anatomical construction. In a earlier remedy, exterior fixation was prone to deliver low bony union price and long-term neck ache, whereas occipito-cervical fusion and atlantoaxial fusion sacrifice vary of movement in cervical backbone. Discount and single part fixation of atlas by anterior lateral mass screws by way of the transoral strategy had been reported by some students, and the retrospective research demonstrated the excessive therapeutic price, reservation of cervical ROM and fewer bleeding. Nevertheless it additionally has excessive dangers of cervical spinal twine and vertebral artery injury, in addition to the post-operation an infection. Furthermore, the indication and fixation power require additional evidences. Consequently, this surgical choice offers a brand new method for spinal surgeons to cope with unstable atlas fractures.
PMID: 29327560 [PubMed – in process]