Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation
Abstract Background In order to improve the clinical medical technology, enhance the clinical effect and improve the disease detection rate, the clinical incidence rate of atlantoaxial dislocation and vertebral body malformation that are difficult to summarize is increasing year by year. Methods A t...
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BMC
2023-03-01
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Series: | BMC Surgery |
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Online Access: | https://doi.org/10.1186/s12893-023-01957-0 |
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author | Haiyi He Xiang Li Peng Li Kai Zhang Pengfei Zhang Qiang Guo Cheng Dong Gaosheng Guo Fuxiang Nie Juan Du |
author_facet | Haiyi He Xiang Li Peng Li Kai Zhang Pengfei Zhang Qiang Guo Cheng Dong Gaosheng Guo Fuxiang Nie Juan Du |
author_sort | Haiyi He |
collection | DOAJ |
description | Abstract Background In order to improve the clinical medical technology, enhance the clinical effect and improve the disease detection rate, the clinical incidence rate of atlantoaxial dislocation and vertebral body malformation that are difficult to summarize is increasing year by year. Methods A total of 80 patients with atlantoaxial dislocation deformity treated in our hospital from January 2017 to May 2021 are selected for this study. According to the number table method, 80 patients are randomly divided into the auxiliary group and the traditional group, with 40 cases in each group. The traditional group is treated with posterior atlantoaxial pedicle screw system internal fixation and intervertebral fusion, and the auxiliary implementation and application of a new head and neck fixation and traction device through nasal cannula and oral release decompression fixation for posterior fusion. The patients in the two groups are compared changes and differences in efficacy, spinal cord function index, pain score, surgery, and quality of life. Results Compared with the traditional group, the total clinical effective rate, cervical spine extension and flexion range of motion, physical function, physical function, psychological function, and social function in the auxiliary group are significantly improved. The operation time, intraoperative blood loss, and VAS score are significantly reduced (P < 0.05). Conclusion The new head and neck fixation traction device can improve the surgical efficacy and quality of life of patients with irreversible atlantoaxial dislocation, enhance spinal cord function, reduce pain symptoms and surgical risks, and is worthy of clinical application. |
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language | English |
last_indexed | 2024-03-13T04:53:13Z |
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series | BMC Surgery |
spelling | doaj.art-15d460dabf8043ebb4c59bd7ea16626e2023-06-18T11:05:06ZengBMCBMC Surgery1471-24822023-03-012311610.1186/s12893-023-01957-0Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocationHaiyi He0Xiang Li1Peng Li2Kai Zhang3Pengfei Zhang4Qiang Guo5Cheng Dong6Gaosheng Guo7Fuxiang Nie8Juan Du9Sanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologySanmenxia Central Hospital, Henan University of Science and TechnologyDepartment of Rehabilitation, Shiyan Renmin HospitalAbstract Background In order to improve the clinical medical technology, enhance the clinical effect and improve the disease detection rate, the clinical incidence rate of atlantoaxial dislocation and vertebral body malformation that are difficult to summarize is increasing year by year. Methods A total of 80 patients with atlantoaxial dislocation deformity treated in our hospital from January 2017 to May 2021 are selected for this study. According to the number table method, 80 patients are randomly divided into the auxiliary group and the traditional group, with 40 cases in each group. The traditional group is treated with posterior atlantoaxial pedicle screw system internal fixation and intervertebral fusion, and the auxiliary implementation and application of a new head and neck fixation and traction device through nasal cannula and oral release decompression fixation for posterior fusion. The patients in the two groups are compared changes and differences in efficacy, spinal cord function index, pain score, surgery, and quality of life. Results Compared with the traditional group, the total clinical effective rate, cervical spine extension and flexion range of motion, physical function, physical function, psychological function, and social function in the auxiliary group are significantly improved. The operation time, intraoperative blood loss, and VAS score are significantly reduced (P < 0.05). Conclusion The new head and neck fixation traction device can improve the surgical efficacy and quality of life of patients with irreversible atlantoaxial dislocation, enhance spinal cord function, reduce pain symptoms and surgical risks, and is worthy of clinical application.https://doi.org/10.1186/s12893-023-01957-0Fixation traction deviceIrreducible atlantoaxial dislocationClinical operationQuality of life |
spellingShingle | Haiyi He Xiang Li Peng Li Kai Zhang Pengfei Zhang Qiang Guo Cheng Dong Gaosheng Guo Fuxiang Nie Juan Du Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation BMC Surgery Fixation traction device Irreducible atlantoaxial dislocation Clinical operation Quality of life |
title | Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation |
title_full | Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation |
title_fullStr | Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation |
title_full_unstemmed | Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation |
title_short | Effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation |
title_sort | effect of a new type of head and neck fixation and traction device in the surgical treatment of patients with irreducible atlantoaxial dislocation |
topic | Fixation traction device Irreducible atlantoaxial dislocation Clinical operation Quality of life |
url | https://doi.org/10.1186/s12893-023-01957-0 |
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