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本文报告13例颈枕部畸形合并脊髓空洞症。根据临床表现和影象学征象,设计并实施外科治疗。其外科基本操作过程:枕骨大孔扩大,寰椎后弓切除减压及枕骨和第二颈椎棘突基底部植骨融合术,脊髓空洞与蛛网膜下腔分流术,平均随访25个月。其结果:症状和体征明显改善10例,稍改善1例,无变化1例,因呼吸衰竭死亡1例。本文对枕颈畸形合并脊髓空洞症及其治疗方法作了讨论。
This article reports 13 cases of neck occipital deformity associated with syringomyelia. According to clinical manifestations and imaging signs, design and implementation of surgical treatment. The basic operation of the surgical process: enlarged foramen magnum, decompression of the posterior arch of atlas and occipital bone and the second cervical spinous process basal bone fusion, syringomyelia and subarachnoid shunt, the average follow-up of 25 months. The results: significant improvement in symptoms and signs in 10 cases, a slight improvement in 1 case, no change in 1 case, 1 died of respiratory failure. This article discusses the occipital neck deformity associated with syringomyelia and its treatment.