KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT MẤT VỮNG BẢN LỀ CỔ CHẨM BẰNG NẸP VÍT TẠI KHOA PTCS BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC TỪ 2014 – 2020

Abstract

Introduction: Occipitocervical is the joint area between cranial bones with high neck spine C1C2. The occipitocervical junction presents a unique, complex, biomechanical interface between the cranium and the upper cervical spine. This is a region which has large influence on the activity level of the neck spine. Occipitocervical fixation has undergone significant evolution due to advances in operative techniques and instrumentation techniques. We conducted research on this topic to evaluate the effectiveness of fixing occipitocervical with surgery in treatment of occipitocervical instability. Material and methods: Research carried out on patients whose occipitocervical instability is fixed by splints. Results: During the six years (2014-2020), The Spinal Surgery Department of Viet Duc hospital has conducted 17 surgeries on 15 males and 2 females including 15 trauma patients and 2 phatholody ones, average age of whom is 43.41 (from 21 to 67 years old). As regards the clinical presentation, all patients had presented with neck pain before surgery, 8 patients (41.2%) with myelopathy, and 10 patients (66.6%) had presented with a neurological deficit either motor or sensory or both. All patients showed no neurogenous and blood vessels ịnury after surgery, neurological symptoms were improved. Conclusion: This is a reliable and effective method in treatment of occipitocervical instability.