Combination of Odontoid Removal and Titanium Plate Occipital-Cervical Posterior Fixation Suture for Patients with Type I Chiari Malformation
ZHAO XU-hui1a, LV Zhong-qiang2, WANG Qiang1b
1.a.Emergency Room; b.Department
of Neurosurgery, the First Hospital
of Xingtai, Xingtai Hebei 054001,
China; 2.Department of Neurosurgery,
the Second Hospital of Hebei Medical
University, Shijiazhuang Hebei 050000,
China
Abstract：Objective To study the clinical effectiveness of combination of odontoid removal and titanium plate occipital-cervical posterior fixation suture in cranial spinal angle improvement for patients with type I Chiari malformation. Methods Altogether 36 patients who had been diagnosed with type I Chiari malformation from September 1994 to September 2004 were divided randomly into control group (n=21) and experiment group (n=15). Cranial ridge angle measurement was made in patients of both groups. Additionally, all the patients in control group received the combination of suboccipital-posterior cranial fossa ecompression and endocranium expansion-repairing. While, the patients in experiment group received the combination of odontoid removal and titanium plate occipital-cervical posterior fixation suture. Results The cranial spina angle was smaller and the foramen magnum diameter, slope and twings length were significantly longer in experiment group than that in control group with statistically significant differences. The total clinical efficacy rate in experiment group was significantly higher with lower occurrence rate of complications and statistically significant differences. The follow-up long-term effectiveness in experimental group was significantly lower than that in control group with statistically significant differences. Conclusion Application of combination of odontoid removal and titanium plate occipital-cervical posterior fixation suture in treatment of patients with type I Chiari malformation achieved excellent therapeutic effectiveness.
赵旭辉，吕中强，王强. 齿状突磨除联合钛板枕骨-颈椎后固定术在Chiari畸形Ⅰ型患者颅脊角改善中的临床应用[J]. 中国医疗设备, 2015, 30(6): 117-119.
ZHAO XU-hui, LV Zhong-qiang, WANG Qiang. Combination of Odontoid Removal and Titanium Plate Occipital-Cervical Posterior Fixation Suture for Patients with Type I Chiari Malformation. China Medical Devices, 2015, 30(6): 117-119.
