TRANSODONTIOS SCREW FIXATION скачать в хорошем качестве

TRANSODONTIOS SCREW FIXATION

28 YRS OLD MALE PRESENTED WITH HISTORY OF ROAD TRAFFIC ACCIDENT HIT BY BUS WHILE HE DRIVING AUTO RICKSHAW VEHICLE FOLLOWED BY NECK PAIN AND RESTRICTED NECK PAIN ON EXAMINATION HE WAS CONSCIOUS AND ORIENTED AND B/L UPPER AND LOWER LIMB POWER GRADE 4+/5 PATIENT WAS AT PERIPHERAL HOSPITAL AND SHIFTED TO OUR HOSPITAL FOR FURTHER MANAGEMENT X RAY CV JUNCTION FLEXION AND EXTENSION SHOWED FRACTURE OF ODONTOID BODY WITH ANTERIOR DISPLACEMENT OF C1 COMPLEX AND SUBLUXATION OF C1 OVER C2 LATERAL MASS HE HAD BEEN INVESTIGATED WITH CT SCAN SPINE WHICH SHOWED FRACTURE OF ODONTOID PROCESS AND THE FRACTURE LINE WAS EXTENDING TO BASE OF C2 BODY.THERE WERE UNDISPLACED FRACTURE OF LEFT C2 LATERAL MASS. MRI SPINE CERVICAL SHOWS CORD SIGNAL INTENSITY CHANGES OPPOSITE C2 BODY.WITH INTACT TRANSVERSE LIGAMENT ACROSS THE ODONTOID BODY. PATIENT WAS PLANNED FOR ANTERIOR TRANSODONTOID SCREW FIXATION IF IT FAILS TO PLAN FOR ADDITIONAL ANTERIOR C1 C2 TRANS ARTICULAR SCREWS OR POSTERIOR C1 C2 LATERAL MASS SCREWS AND FIXATION. POST-OP PATIENT WAS ELECTIVELY KEPT ON T PIECE FOR A DAY POST-OP X RAY SHOWED GOOD REDUCTION OF ODONTOID FRACTURE AND THE SUBLUXATION OF LATERAL MASS REDUCED TO NORMAL SINCE WE HAD ACHIEVED GOOD REDUCTION OF FRACTURE AND SUBLUXATION ,NO FURTHER PLAN FOR ADDITIONAL SURGICAL PROCEDURE WAS PLANNED. POST-OP PATIENT WAS CONTINUED ON PHILADELPHIA COLLAR FOR 6 WEEKS