机构：[1]Department of Neurosurgery, Division of Spine, China International Neurological Institute, Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China神经外科中国国际神经科学研究所首都医科大学宣武医院[2]Department of Neurosurgery, Beijing Hospital, National Center of Gerontology, Beijing, People’s Republic of China
The purpose of this study focuses on the changes of the syrinx volume after posterior reduction and fixation of the basilar invagination (BI) and atlantoaxial dislocation (AAD) with syringomyelia. We retrospectively analyzed the clinical outcome and syrinx volume changes in 71 patients with BI, AAD and syringomyelia treated with the posterior reduction and fixation technique. Clinical improvement was observed in 64 (90.1 %) patients postoperatively; 5 (7.0 %) were stable and 2 (2.8 %) were clinically aggravated. The postoperative Atlantodental interval became normal in 61 patients (86.0 %); showed reduction that was greater than 50 % but not complete in 5 patients (7.0 %); and reduction which was less than 50 % in 5 patients (7.0 %). The size of the syrinx was reduced postoperatively in 66 patients (93.0 %) while no change in the remaining 5 patients (7.0 %). Posterior reduction and fixation of the AAD and BI can effectively enlarge the foramen magnum, improve the cerebrospinal fluid circulation and consequently reduce the volume of the syrinx.
基金：
the National Natural Science Foundation of China (Grant No. 81271519)
National High Tech Research and development program of China (863 Program) (Grant No. 2013AA013803).
第一作者机构：[1]Department of Neurosurgery, Division of Spine, China International Neurological Institute, Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China[2]Department of Neurosurgery, Beijing Hospital, National Center of Gerontology, Beijing, People’s Republic of China
通讯作者：
通讯机构：[1]Department of Neurosurgery, Division of Spine, China International Neurological Institute, Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China
推荐引用方式(GB/T 7714)：
Zuowei Wang,Xingwen Wang,Fengzeng Jian,et al.The changes of syrinx volume after posterior reduction and fixation of basilar invagination and atlantoaxial dislocation with syringomyelia[J].EUROPEAN SPINE JOURNAL.2017,26(4):1019-1027.doi:10.1007/s00586-016-4740-9.
APA：
Zuowei Wang,Xingwen Wang,Fengzeng Jian,Can Zhang,Hao Wu&Zan Chen.(2017).The changes of syrinx volume after posterior reduction and fixation of basilar invagination and atlantoaxial dislocation with syringomyelia.EUROPEAN SPINE JOURNAL,26,(4)
MLA：
Zuowei Wang,et al."The changes of syrinx volume after posterior reduction and fixation of basilar invagination and atlantoaxial dislocation with syringomyelia".EUROPEAN SPINE JOURNAL 26..4(2017):1019-1027
