Study On The Correlation Between O - Type Atlantoaxial Dislocation And Du 's Theory Of Obstruction Of Obstruction

backgroundAtlanto-axial dislocation is a pathological state of nerve compression, it is a single or multiple factors (congenital malformation, degeneration, trama, tumor, inflammation, etc.) caused the atlas and axis (the first and second cervical vertebrae) out of perfect connection, Chinese medicine call this state " gu cuo feng " This kind of disease can be clinically classified as congenital and traumatic, congestive. Common clinical manifestations generally include: neck pain, torticollis or limited neck movement, dizziness, tinnitus, blurred vision, whole body muscle tension, hold things instability, easy to break glass, sense of suppression in the chest, palpitations and elevation of blood pressure, etc; easy to fall, urine weakness, muscle atrophy of leg, even total paralysis. A person with Atlanto-axial dislocation is life-threatening . Some patients with Arnold-Chiarimalformation or cerebellar tonsillar hernia can have vertigo diplopia, muscle weakness, with symptoms such as feeling obstacle and easy to fall. For patients with atlanto-axial dislocation of vertebra, TOI parting can give guidance to choose the appropriate surgical operation:T (traction reduction type, traction type), O (operation reduction type, surgical reset type), type I (irreducible type, not reset type). This classification comprehensively includes atlanto-axial vertebral dislocation in a round, it is accurate, can be exactly guide the treatment of atlanto-axial dislocation vertebra. O atlanto-axial vertebral dislocation refers to atlanto-axial dislocation patients with vertebral the current existence of scar, soft tissue and CT examination showed no osseous fusion between atlas and axis, traction 1-2 weeks can’t reset, but it can be reset by surgery.In recent years, more and more clinical physicians throughanterior release, posterior fixation to treat this kind of atlanto-axial dislocation vertebra, treatmentment can be assistedby massage, acupuncture, traditional Chinese medicine therapy, and we considergovernor meridianstagnatehas something to do with this disease.purposeExploring the treatment of anterior release, posterior fixation tocureO atlanto-axial dislocation vertebra of its advantages and existing problems and the connection of O atlanto-axial vertebral dislocation between theory of governor meridianstagnate.methodsReviewed since from January 2013 to February 2015, hospitalized O atlanto-axial, a total of 16 patients with vertebral dislocation,9 cases of male and female 7 cases; Aged 21 to 65 years old, average 40.3 years.1-2 weeks all patients after admission line traction failed to reset and remove oral inflammation, sinusitis, etc., preoperative conventional oral disinfection, anterior posterior nativity combination therapy (through oropharyngeal before release, posterior decompression, reduction, atlanto-axial vertebral or cervical arthrodesis). The oropharynx, anterior release process, the pharynx posterior wall, in the middle of longitudinally show atlanto-axial job, according to the anatomical level gradually revealed and excision of scar, joint capsule and ligament and bone graft block hazardous to reset, prying side of atlanto-axial joint, with 3-5 mm loose its clearance was reset, and fixed fusion. According to postoperative restoration and its stability is assessed X-ray, CT, JOA score evaluation neural function improvement, du meridian and blood stasis resistance integral evaluation method to evaluate treatmentanterior release, posterior fixation O atlanto-axial dislocation of vertebra advantage and the connection of O atlanto-axial vertebral dislocation between theory of governor meridianstagnate.resultsAll patients were successfully completed, the operation time is between 170-330 min, an average of 240 min. Average blood loss from 400 to 1000 ml,650 ml. Intraoperative no vertebral artery rupture occurred, no nerve and spinal cord injury occurred, no postoperative pharyngeal and spinal canal infection.13 cases get completely reset,3 cases not fully reset. The brainstem spinal cord Angle back to an average of 137.5 ° (15 cases at normal,1 case of less than normal). Average follow-up time of 18 months (6 to 31 months), during postoperative follow-up imaging examination visible atlanto-axial vertebral reset satisfaction, rebuild a good stability, no loosening of internal fixation and bone graft for osseous fusion; Clinical symptoms improved significantly, postoperative JOA score increased from an average of 7.8 points preoperatively to average 12.7 points. Du meridian and blood stasis resistance rating from 52 points preoperatively to 74 points after.conclusionIn the treatment of O atlanto-axial vertebral dislocation, a combined anterior and posterior effect gained broad clinical doctors agree, become O atlanto-axial dislocation of vertebral basic operation method, the exact effect and has obvious advantages, can obviously improve the patient’s clinical symptoms, to ease the governor meridianstagnate effect is remarkable.