中国现代神经疾病杂志 ›› 2024, Vol. 24 ›› Issue (12): 981-984. doi: 10.3969/j.issn.1672-6731.2024.12.002

• 标准与指南 • 上一篇    下一篇

2 《后路寰枢椎关节间撑开复位融合技术治疗寰枢椎脱位专家共识(2024)》要点解读

杜越崎, 陈赞*()   

  1. 100053 北京, 首都医科大学宣武医院神经外科
  • 收稿日期:2024-12-13 出版日期:2024-12-25 发布日期:2025-01-10
  • 通讯作者: 陈赞
  • 基金资助:
    国家重点研发计划“常见多发病防治研究”重点专项(2023YFC2509700); 北京协和医院中央高水平医院临床科研专项(2022-PUMCH-D-004)

Interpretation of "Expert consensus on posterior facet distraction and fusion technique for the treatment of atlantoaxial dislocation (2024)"

Yue-qi DU, Zan CHEN*()   

  1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2024-12-13 Online:2024-12-25 Published:2025-01-10
  • Contact: Zan CHEN
  • Supported by:
    National Key Research and Development Program of China(2023YFC2509700); National High Level Hospital Clinical Research Funding of Peking Union Medical College Hospital(2022-PUMCH-D-004)

摘要:

寰枢关节脱位是常见的颅颈交界区病变之一,可导致严重神经功能障碍。为更好地规范寰枢关节脱位的诊断与治疗,中华医学会神经外科学分会脊髓脊柱学组联合中国颅颈交界区畸形研究联盟于2024年8月共同发布《后路寰枢椎关节间撑开复位融合技术治疗寰枢椎脱位专家共识(2024)》,对后路寰枢关节间撑开复位融合(PFDF)技术治疗寰枢关节脱位的适用范围、术前评估、手术操作、手术相关并发症处理等进行详细阐述并提出推荐意见,旨在为PFDF技术治疗寰枢关节脱位的临床应用提供指导性建议。本文针对共识要点进行解读,以为临床医师和研究人员提供参考。

关键词: 关节脱位, 寰枢关节, 脊柱融合术, 诊疗指南

Abstract:

Atlantoaxial dislocation (AAD) is a common craniovertebral junction deformity that can result in severe neurological dysfunction. To better standardize the diagnosis and treatment of AAD, the Spine and Spinal Cord Group, Neurosurgical Branch, Chinese Medical Association, and the Chinese Craniovertebral Junction Malformation Research Alliance published the "Expert consensus on posterior facet distraction and fusion technique for the treatment of atlantoaxial dislocation (2024)" in August 2024. This consensus provides detailed recommendations regarding application range, preoperative evaluation, surgical techniques, and complication management for this procedure, aiming to offer practical guidance for its clinical application. The key points of the expert consensus are summarized and interpreted in this article, to provide reference for clinicians and researchers.

Key words: Joint dislocations, Atlanto-axial joint, Spinal fusion, Diagnostic and treatment guideline