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目的 介绍一种新型头环石膏背心固定器 ,并报告联合手术治疗小儿寰枢椎旋转固定性半脱位的疗效。方法 用这种技术治疗 8例小儿寰枢椎旋转固定性半脱位 ,根据临床需要 ,此固定器可行屈曲、伸展、侧屈和中立位撑开固定。结果 本组没有明显的手术并发症 ,经临床观察和随访 ,治疗效果满意。结论 此固定器是颈椎外科中很有效的一种外固定方法 ,具有操作简单、固定牢固和易于调整的优点。适宜联合手术治疗小儿寰枢椎旋转固定性半脱位。
Objective To introduce a new type of head ring gypsum vest retainer and report the efficacy of combined surgery in the treatment of pediatric atlantoaxial rotational fixation subluxation. Methods This technique was used to treat 8 children with atlantoaxial rotational fixation subluxation. According to the clinical needs, the fixator was feasible for flexion, extension, lateral flexion and neutral fixation. Results There were no obvious complications in this group. The results were satisfactory after clinical observation and follow-up. Conclusion This fixator is an effective external fixation method in cervical surgery. It has the advantages of simple operation, firm fixation and easy adjustment. Suitable for surgical treatment of pediatric atlantoaxial rotational fixation of subluxation.