A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation
BackgroundCurrently, irreducible atlantoaxial dislocation (IAAD) can be treated by a single transoral approach in one stage to reduce surgical injuries to patients. However, the widely used fixation devices are not suitable for pediatric patients because of larger profile of devices.ObjectiveThe pur...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1054695/full |
| _version_ | 1797960066638282752 |
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| author | Xiaobao Zou Haozhi Yang Suochao Fu Chenfu Deng Junlin Chen Rencai Ma Xiangyang Ma Hong Xia |
| author_facet | Xiaobao Zou Haozhi Yang Suochao Fu Chenfu Deng Junlin Chen Rencai Ma Xiangyang Ma Hong Xia |
| author_sort | Xiaobao Zou |
| collection | DOAJ |
| description | BackgroundCurrently, irreducible atlantoaxial dislocation (IAAD) can be treated by a single transoral approach in one stage to reduce surgical injuries to patients. However, the widely used fixation devices are not suitable for pediatric patients because of larger profile of devices.ObjectiveThe purpose of this study is to report the preliminary clinical outcomes of a novel surgical technique by transoral intraarticular cage distraction and fusion with C-JAWS staple fixation for pediatric patients with IAAD.MethodsFrom June 2011 to June 2014, eight pediatric patients with IAAD were enrolled and treated by this technique in our department. Patients' clinical data were retrospectively analyzed, including neurological status, clinical symptoms, reduction, bone fusion, and complications.ResultsThe surgeries were successfully performed in all patients without injuries to spinal cord, nerve and blood vessel. Clinical symptomatic relief was presented on all 8 patients (100%). Satisfactory reduction was indicated by significant decrease of atlanto-dental interval postoperatively (P < 0.05). The remarkable improvement of postoperative neurological function has been proved by significant increase of Japanese Orthopaedic Association score (P < 0.05). The average follow-up duration was 19.4 ± 5.8 months (range 12–30 months). Bone fusion was achieved in all 8 cases. No complications were documented after operation and during follow-up.ConclusionsTransoral intraarticular cage distraction and fusion with C-JAWS staple fixation is an effective treatment for pediatric patients with IAAD, which can achieve satisfactory reduction, fixation and bone fusion. |
| first_indexed | 2024-04-11T00:40:30Z |
| format | Article |
| id | doaj.art-90ca651a155e465db3e0ff9ad5fb2dc0 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:40:30Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-90ca651a155e465db3e0ff9ad5fb2dc02023-01-06T07:02:01ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10546951054695A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixationXiaobao ZouHaozhi YangSuochao FuChenfu DengJunlin ChenRencai MaXiangyang MaHong XiaBackgroundCurrently, irreducible atlantoaxial dislocation (IAAD) can be treated by a single transoral approach in one stage to reduce surgical injuries to patients. However, the widely used fixation devices are not suitable for pediatric patients because of larger profile of devices.ObjectiveThe purpose of this study is to report the preliminary clinical outcomes of a novel surgical technique by transoral intraarticular cage distraction and fusion with C-JAWS staple fixation for pediatric patients with IAAD.MethodsFrom June 2011 to June 2014, eight pediatric patients with IAAD were enrolled and treated by this technique in our department. Patients' clinical data were retrospectively analyzed, including neurological status, clinical symptoms, reduction, bone fusion, and complications.ResultsThe surgeries were successfully performed in all patients without injuries to spinal cord, nerve and blood vessel. Clinical symptomatic relief was presented on all 8 patients (100%). Satisfactory reduction was indicated by significant decrease of atlanto-dental interval postoperatively (P < 0.05). The remarkable improvement of postoperative neurological function has been proved by significant increase of Japanese Orthopaedic Association score (P < 0.05). The average follow-up duration was 19.4 ± 5.8 months (range 12–30 months). Bone fusion was achieved in all 8 cases. No complications were documented after operation and during follow-up.ConclusionsTransoral intraarticular cage distraction and fusion with C-JAWS staple fixation is an effective treatment for pediatric patients with IAAD, which can achieve satisfactory reduction, fixation and bone fusion.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1054695/fullirreducible atlantoaxial dislocationtransoral approachreductioninternal fixationspinal fusion |
| spellingShingle | Xiaobao Zou Haozhi Yang Suochao Fu Chenfu Deng Junlin Chen Rencai Ma Xiangyang Ma Hong Xia A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation Frontiers in Surgery irreducible atlantoaxial dislocation transoral approach reduction internal fixation spinal fusion |
| title | A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation |
| title_full | A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation |
| title_fullStr | A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation |
| title_full_unstemmed | A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation |
| title_short | A novel surgical management for pediatric patients with irreducible atlantoaxial dislocation: Transoral intraarticular cage distraction and fusion with C-JAWS staple fixation |
| title_sort | novel surgical management for pediatric patients with irreducible atlantoaxial dislocation transoral intraarticular cage distraction and fusion with c jaws staple fixation |
| topic | irreducible atlantoaxial dislocation transoral approach reduction internal fixation spinal fusion |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1054695/full |
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