Wang Huaikeng,Pei Xinhong,Huang Shaomin,et al.Clinical characteristics of atlanto-axial rotatory subluxation in children[J].Journal of Clinical Pediatric Surgery,,18():868-873.[doi:10.3969/j.issn.1671-6353.2019.10.014]
Clinical characteristics of atlanto-axial rotatory subluxation in children
- CLC:
- R726.8;R681.5;684.7
- Abstract:
- Objective To explore the clinical diagnosis and treatment of atlantoaxial rotatory subluxation (AARS) and summarize its clinical features.Methods From June 2014 to June 2018,clinical data and imaging examinations were retrospectively analyzed for 512 AARS children at Xiamen Children’s Hospital.Results There were 273 boys and 239 girls with a mean age of (5.6±2.1) years.There was a previous history of upper respiratory tract infection (n=168) and trauma (n=149).The mean duration of symptoms was (3.7±1.6) days.Twenty-three of them had AARS more than once.According to the Fielding scheme of clinical classification,the specific types were (n=321),Ⅱ (n=143),Ⅲ (n=29) and Ⅳ (n=19).Other concurrent diseases were neoplastic lesions (n=6),congenital structural malformations (n=5),infectious lesions (n=6),hemorrhagic lesions (n=3),hemorrhage & infection (n=1),vascular malformation (n=1),vascular malformation plus hemorrhage (n=1),vascular malformation & congenital structural malformation (n=1) and intracranial cyst (n=3).Among 463 children with continuous mandible occipital belt traction and brace,461 had clinical recovery.Conclusion AARS is common after upper respiratory tract infection and trauma.A definite diagnosis is based upon clinical findings and imaging examinations.In the meantime,it is necessary to exclude some diseases such as tumor,infection,hemorrhage and congenital structural malformation.The outcome of continuous mandible occipital belt traction and brace is marked.
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Memo
收稿日期:2018-11-18。
基金项目:厦门市儿童医院青年科研项目（编号：CHP—2019—YRF—0024）
通讯作者:裴新红,Email:peizane@163.com