经后路超声骨刀双侧切除齿状突治疗颅底凹陷症合并不可复性寰枢关节脱位一例_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

胡博文 , 周春光 , 杨曦 , 刘立岷 ,  宋跃明

四川大学华西医院骨科（成都 610041）;

Corresponding author：

宋跃明, Email: sym_cd@163.com

Keywords：

寰枢椎脱位; 颅底凹陷症; 齿状突切除; 超声骨刀

DOI：

10.7507/1002-1892.201711133

Video：

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目的总结采用 1 例经后路超声骨刀双侧切除齿状突治疗的颅底凹陷症合并不可复性寰枢关节脱位患者临床资料。方法 2017 年 10 月 25 日，采用经后路超声骨刀双侧切除齿状突治疗 1 例颅底凹陷症合并不可复性寰枢关节脱位 40 岁女性患者。患者因“四肢麻木 2 年，加重伴四肢感觉、运动障碍 6 个月”入院，查体见 C₂ 平面以下感觉减退，右侧上下肢肌力 1～2 级，结合影像学检查提示颅底凹陷症合并寰枢关节脱位，寰枢椎自发融合。结果术后患者右侧肢体麻木乏力明显缓解，肌力较术前改善；术后 CT 示齿状突完整切除，MRI 示脊髓受压解除。结论采用经后路超声骨刀双侧切除齿状突可行，可作为颅底凹陷症合并不可复性寰枢关节脱位的治疗方法之一。

Citation： 胡博文, 周春光, 杨曦, 刘立岷, 宋跃明. 经后路超声骨刀双侧切除齿状突治疗颅底凹陷症合并不可复性寰枢关节脱位一例. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(12): 1523-1525. doi: 10.7507/1002-1892.201711133 Copy

1.	Goel A. Progressive basilar invagination after transoral odontoidectomy: treatment by atlantoaxial facet distraction and craniovertebral realignment. Spine (Phila Pa 1976), 2005, 30(18): E551-555.
2.	Peng X, Chen L, Wan Y, et al. Treatment of primary basilar invagination by cervical traction and posterior instrumented reduction together with occipitocervical fusion. Spine (Phila Pa 1976), 2011, 36(19): 1528-1531.
3.	Zenga F, Pacca P, Tardivo V, et al. Endoscopic Endonasal Approach to the Odontoid Pathologies. World Neurosurg, 2016, 89: 394-403.
4.	Shousha M, Mosafer A, Boehm H. Infection rate after transoral approach for the upper cervical spine. Spine (Phila Pa 1976), 2014, 39(19): 1578-1583.
5.	Xia H, Yin Q, Ai F, et al. Treatment of basilar invagination with atlantoaxial dislocation: atlantoaxial joint distraction and fixation with transoral atlantoaxial reduction plate (TARP) without odontoidectomy. Eur Spine J, 2014, 23(8): 1648-1655.
6.	宋跃明, 黄思庆, 龚全, 等. 经枕颈后外侧入路行畸形齿突切除术. 中华骨科杂志, 1999, 19(10): 581-584.
7.	Limin L, Chunguang Z, Yueming S, et al. A posterolateral approach to occipitoatlantoaxial ventral lesions: a report of the long-term follow-up of 23 cases. J Spinal Disord Tech, 2013, 26(5): 281-290.
8.	Chang HS, Joko M, Song JS, et al. Ultrasonic bone curettage for optic canal unroofing and anterior clinoidectomy. Technical note. J Neurosurg, 2006, 104(4): 621-624.

1. Goel A. Progressive basilar invagination after transoral odontoidectomy: treatment by atlantoaxial facet distraction and craniovertebral realignment. Spine (Phila Pa 1976), 2005, 30(18): E551-555.
2. Peng X, Chen L, Wan Y, et al. Treatment of primary basilar invagination by cervical traction and posterior instrumented reduction together with occipitocervical fusion. Spine (Phila Pa 1976), 2011, 36(19): 1528-1531.
3. Zenga F, Pacca P, Tardivo V, et al. Endoscopic Endonasal Approach to the Odontoid Pathologies. World Neurosurg, 2016, 89: 394-403.
4. Shousha M, Mosafer A, Boehm H. Infection rate after transoral approach for the upper cervical spine. Spine (Phila Pa 1976), 2014, 39(19): 1578-1583.
5. Xia H, Yin Q, Ai F, et al. Treatment of basilar invagination with atlantoaxial dislocation: atlantoaxial joint distraction and fixation with transoral atlantoaxial reduction plate (TARP) without odontoidectomy. Eur Spine J, 2014, 23(8): 1648-1655.
6. 宋跃明, 黄思庆, 龚全, 等. 经枕颈后外侧入路行畸形齿突切除术. 中华骨科杂志, 1999, 19(10): 581-584.
7. Limin L, Chunguang Z, Yueming S, et al. A posterolateral approach to occipitoatlantoaxial ventral lesions: a report of the long-term follow-up of 23 cases. J Spinal Disord Tech, 2013, 26(5): 281-290.
8. Chang HS, Joko M, Song JS, et al. Ultrasonic bone curettage for optic canal unroofing and anterior clinoidectomy. Technical note. J Neurosurg, 2006, 104(4): 621-624.

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Chinese Journal of Reparative and Reconstructive Surgery

经后路超声骨刀双侧切除齿状突治疗颅底凹陷症合并不可复性寰枢关节脱位一例

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