Publications (2)0 Total impact
Article: [Roles of computed tomography in the diagnosis and treatment of complex atlas pillow deformity].[show abstract] [hide abstract]
ABSTRACT: To explore the roles of computed tomography (CT) in the diagnosis and treatment of complex atlas pillow deformity. From January 2010 to February 2012, the preoperative and postoperative CT imaging findings were collected from 32 cases of complicated atlas pillow deformity undergoing surgical treatment at Henan Provincial People's Hospital. There were 18 males and 14 females with a mean age of 36.8 years (range: 23 - 65). The average duration of disease was 4.5 years (range: 0.25 - 10). In 32 cases, a definite diagnosis was established preoperatively by coronary sagittal CT scans and 3-dimensional reconstruction. And CT re-examinations were performed to review the postoperative curative efficacies. CT imaging examination is of vital importance in the diagnosis, personalized surgical procedures and prognostic evaluation of complex craniocervical junction deformity.Zhonghua yi xue za zhi 07/2012; 92(27):1919-21.
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ABSTRACT: To explore the treatment strategies for complicated craniocervical junction malformations with diverse clinical and imaging features. The clinical data of 67 cases of complicated craniocervical junction malformation treated between January 2000 to December 2010 were retrospectively analyzed. Based on their clinical manifestations and imaging findings, different operative procedures were adopted, including odentoidectomy via transoral transpharyngeal approach (n = 3), occipito-cervical fusion and(or) suboccipital decompression (n = 19) and odentoidectomy via transoral transpharyngeal approach followed by occipito-cervical fusion in two-stage operation (n = 25). Four cases underwent merely odentoidectomy via transoral transpharyngeal approach and died postoperatively. Sixteen cases had occipito-cervical fusion and(or) transorally surgical release for reduction in one stage. Clinical symptoms significantly improved in 19 cases, partially improved in 21 cases and remained unchanged in 12 cases. Nine cases deteriorated postoperatively and 6 cases died. The effective rate was 59.7%. The complexity of craniocervical junction malformations may be fully assessed based on different clinical manifestations and thorough imaging studies. Then personalized operative plans are to be designed.Zhonghua yi xue za zhi 02/2012; 92(7):476-9.