Feasibility and outcome of stand-alone trans-articular screw fixation in atlantoaxial instability in children less than 8 years of age
| Autor: | Ankit Patel, Vishal Kundnani, Tarun Dusad, Shumayou Dutta |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Joint Instability
Male medicine.medical_specialty Cord Bone Screws 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Statistical significance Medicine Humans Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Child 030222 orthopedics business.industry Herbert screw Surgery Spinal Fusion Treatment Outcome Atlanto-Axial Joint Atlantoaxial instability Radiological weapon Child Preschool Etiology Feasibility Studies Female business Tomography X-Ray Computed 030217 neurology & neurosurgery |
| Zdroj: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 27(6) |
| ISSN: | 1432-0932 |
| Popis: | To study the feasibility and outcome of stand-alone trans-articular screw (TAS) fixation for atlantoaxial instability (AAI) in children less than 8 years of age. This prospective study was conducted between 2009 and 2014. Thirteen children suffering from AAI were operated for a TAS fixation. Feasibility of TAS fixation was assessed on CT scan and a screw diameter was chosen based on C2 isthmus diameter. Demographic data collected included the etiology for AAI, age, and sex. Intra-operative data recorded was the duration of surgery, blood loss, vertebral artery injury or any adverse event. Radiological evaluation included pre- and post-operative atlantodens interval (ADI) and space available for cord (SAC) and fusion was evaluated at 3, 6, 12 and 24 months. Statistical analysis was done using SPSS software and statistical significance was set at p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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