Atlantoaxial fixation using plate and screw method: a report of 160 treated patients.

摘要: Objective We review our experience with the use of plate and screw method fixation in treatment 160 patients atlantoaxial instability during a 14-year period at center. previously described this 1994. Methods Between 1988 2001, were treated Department Neurosurgery King Edward Memorial Hospital Bombay, India. The study group was composed 91 males 69 females (mean age, 23 yr; age range, 18 mo-79 yr). Atlantoaxial result congenital abnormality 132 (83%) occurred after trauma 28 (17%). All had mobile, completely reducible dislocation. For 3 months postoperatively, hard cervical collar used. mean follow-up 42 (range, 4 mo-14 Results Three died postoperative phase. Successful stabilization region documented dynamic radiography other 157 patients. There no incidence implant rejection. In one patient, found to be broken surgery; however, firm bony fusion patient. neurological, vascular, or infective complications. Conclusion intra-articular bone grafts yielded 100% rate low