一个需要内部固定的Atlanto-Axial旋转固定的案例
Ryunosuke Fukushi1, Yujiro Takeshita2, Tomonori Morita1
1Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Journal of orthopaedic case reports
|September 12, 2025
概括
一个患有先天性因素的孩子在保守治疗失败后需要进行内部固定. 在复杂的AARF病例中,早期手术干预可能至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经外科 神经外科
- 遗传学 是一个遗传学.
背景情况:
- 大西洋轴旋转固定 (AARF) 通常会对保守的管理做出反应.
- 复发的AARF,特别是需要手术干预,是罕见的.
- 先天性因素可能会使AARF的治疗和预后复杂化.
研究的目的:
- 在患有潜在先天性疾病的儿科患者中报告罕见的复发性AARF病例.
- 突出管理耐火AARF的挑战.
- 讨论早期内部固定在特定AARF案例中的潜在作用.
主要方法:
- 一个患有22q.11.2删除综合征的5岁男孩呈现了AARF (Fielding型III).
- 最初的治疗包括引和整形,在复发时失败了.
- 由于持续的症状和复发,使用Magerl方法进行了手术内部固定.
主要成果:
- 保守治疗提供了暂时的缓解,但AARF复发了两次.
- 内部固定成功纠正了形,并防止了进一步的复发.
- 手术后确认了骨结合,在随访期间没有报告任何不良事件.
结论:
- 先天性因素,如带松和脊椎异常,可以导致难以治疗和复发的AARF.
- 对于具有先天性元素的AARF,标准的保守治疗可能不足.
- 儿童患者因先天性问题而患有复发性或耐火性AARF,应及早考虑内部固定.
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