PDF(Pubmed)
Abstract：
UNASSIGNED: Atlas ring fractures, which account for 1.3% of all spinal fractures, are predominantly managed conservatively. However, in certain cases, surgical treatment may be necessary depending on the type of fracture, degree of comminution, fracture location, and associated ligamentous injuries. Surgical stabilization frequently results in a posterior C1-2 or C0-2 fusion, which restricts movement, particularly craniocervical rotation. Coronal split fractures of the lateral mass need to be reduced and fixed due to dislocation, instability and secondary osteoarthritis. The preferred treatment approach involves internal fixation of the reduced fracture fragments, while avoiding restriction of the upper cervical spine\'s range of motion (ROM).
UNASSIGNED: Is unilateral anterior transoral lag screw for treatment of unstable coronal split fracture of lateral mass of the atlas feasible and a safe treatment option?
UNASSIGNED: We report on a 55-year-old female suffering from polytrauma with multiple spinal and extremity injuries.
UNASSIGNED: A coronal split fracture of the lateral mass of the atlas was treated minimally invasive with a transoral lag screw technique to reduce and fix the fracture that has a tendency for fracture gap widening. Stable fixation and fracture union and thus restoration of function was achieved.
UNASSIGNED: Transoral lag screw osteosynthesis for coronal split fracture of the lateral mass of the atlas is a potential treatment option in selected cases to preserve mobility in the upper cervical spine after spinal trauma.
UNASSIGNED: Is unilateral anterior transoral lag screw for treatment of unstable coronal split fracture of lateral mass of the atlas feasible and a safe treatment option?
UNASSIGNED: We report on a 55-year-old female suffering from polytrauma with multiple spinal and extremity injuries.
UNASSIGNED: A coronal split fracture of the lateral mass of the atlas was treated minimally invasive with a transoral lag screw technique to reduce and fix the fracture that has a tendency for fracture gap widening. Stable fixation and fracture union and thus restoration of function was achieved.
UNASSIGNED: Transoral lag screw osteosynthesis for coronal split fracture of the lateral mass of the atlas is a potential treatment option in selected cases to preserve mobility in the upper cervical spine after spinal trauma.
摘要：
■阿特拉斯环骨折，占所有脊柱骨折的1.3%，主要是保守管理。然而,在某些情况下,根据骨折的类型，手术治疗可能是必要的，粉碎程度,骨折位置,和相关的韧带损伤。手术稳定通常导致后C1-2或C0-2融合，限制了运动，尤其是颅颈旋转。侧块的冠状裂开性骨折由于脱位需要减少和固定，不稳定性和继发性骨关节炎。首选的治疗方法包括复位骨折碎片的内固定，同时避免限制上颈椎的活动范围（ROM）。
■单侧前路经口拉力螺钉治疗不稳定的寰椎侧块冠状裂开性骨折是否可行和安全的治疗选择？
■我们报告了一名55岁女性患有多发性脊柱和四肢损伤的多发性创伤。
■采用经口拉力螺钉技术微创治疗寰椎侧块冠状裂开骨折，以减少和固定有骨折间隙扩大趋势的骨折。固定稳定，骨折愈合，从而实现功能恢复。
■经口腔拉力螺钉接骨术治疗寰椎侧块冠状裂开性骨折是一种潜在的治疗选择，可在选定的病例中保留脊柱创伤后上颈椎的活动性。
■单侧前路经口拉力螺钉治疗不稳定的寰椎侧块冠状裂开性骨折是否可行和安全的治疗选择？
■我们报告了一名55岁女性患有多发性脊柱和四肢损伤的多发性创伤。
■采用经口拉力螺钉技术微创治疗寰椎侧块冠状裂开骨折，以减少和固定有骨折间隙扩大趋势的骨折。固定稳定，骨折愈合，从而实现功能恢复。
■经口腔拉力螺钉接骨术治疗寰椎侧块冠状裂开性骨折是一种潜在的治疗选择，可在选定的病例中保留脊柱创伤后上颈椎的活动性。
