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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Main Authors: Haiyi He, Xiang Li, Peng Li, Kai Zhang, Pengfei Zhang, Qiang Guo, Cheng Dong, Gaosheng Guo, Fuxiang Nie, Juan Du
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Surgery
Subjects:
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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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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