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邹 小, 欧阳 北, 马 向, 陈 育, 葛 苏, 张 双, 倪 菱, 夏 虹, 吴 增. [Progress in treatment of unstable atlas fracture]. ZHONGGUO XIU FU CHONG JIAN WAI KE ZA ZHI = ZHONGGUO XIUFU CHONGJIAN WAIKE ZAZHI = CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY 2020; 34:793-796. [PMID: 32538574 PMCID: PMC8171540 DOI: 10.7507/1002-1892.201909129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 04/07/2020] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To summarize the progress in treatment of unstable atlas fracture, the existing problems, and the research direction. METHODS Related literature at home and abroad was reviewed. The stability evaluation of atlas fracture and treatment methods were introduced, and the selection of surgical approach and fixation instruments in treatment of unstable atlas fracture were summarized and analyzed. RESULTS At present, atlas fractures are considered as unstable fractures except single anterior arch fractures with complete transverse ligament or simple posterior arch fractures. The treatment of unstable atlas fracture has been developed from nonsurgical treatment and traditional fusion surgery to single-segment fixation. Nonsurgical treatment is less effective, while traditional fusion surgery has a disadvantage of limited the motion of the upper cervical spine. Single-segment fixation can not only restore and fix the fracture, but also preserve the upper cervical motion function. Single-segment fixation approaches include posterior and transoral approaches, and the fixation instruments are being constantly improved, mainly including screw-rod system, screw-plate system, and plate system. CONCLUSION For unstable atlas fracture, single-segment fixation is an ideal surgical method, and has more advantages when compared with nonsurgical treatment and traditional fusion surgery. Single-segment fixation via transoral approach is more direct for atlas anterior arch fracture reduction, but there is a high risk of infection; and single-segment fixation via posterior approach is less effective for the reduction of atlas anterior arch fracture. Therefore, a better reduction method should be explored.
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Affiliation(s)
- 小宝 邹
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
- 中国人民解放军南部战区总医院骨科(广州 510010)Department of Orthopedics, General Hospital of Southern Theatre Command of Chinese PLA, Guangzhou Guangdong, 510010, P.R.China
| | - 北平 欧阳
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
- 中国人民解放军南部战区总医院骨科(广州 510010)Department of Orthopedics, General Hospital of Southern Theatre Command of Chinese PLA, Guangzhou Guangdong, 510010, P.R.China
| | - 向阳 马
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
- 中国人民解放军南部战区总医院骨科(广州 510010)Department of Orthopedics, General Hospital of Southern Theatre Command of Chinese PLA, Guangzhou Guangdong, 510010, P.R.China
| | - 育岳 陈
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
| | - 苏 葛
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
| | - 双 张
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
| | - 菱 倪
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
| | - 虹 夏
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
| | - 增晖 吴
- 南方医科大学第一临床医学院(广州 510515)The First School of Clinical Medicine, Southern Medical University, Guangzhou Guangdong, 510515, P.R.China
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CORR® Curriculum - Orthopaedic Education: Generational Opportunities for Teaching in the Operating Room. Clin Orthop Relat Res 2019; 477:506-508. [PMID: 30762682 PMCID: PMC6382195 DOI: 10.1097/corr.0000000000000650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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