Fig 6 - available from: BMC Surgery
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The suboccipital nerve is the dorsal primary ramus of the first cervical nerve, which was highlighted by red color
Source publication
Background:
Occipital neuralgia is one of the postoperative complications of C1 lateral mass screw insertion, which was deemed to be related with the C2 nerve root dysfunction.
Case presentation:
A 52-year-old female patient presented with gradually progressive numbness and weakness in her extremities for 6 months. X-ray and computed tomography...
Context in source publication
Context 1
... as micromotion of the degenerated atlantoaxial facet joint itself, with pain transmission via the anterior ramus of the C2 [8,9]. Atlantoaxial fusion could eliminate facet micromotion; thus expecting to remove one of the primary pain generators to some degree [10]. The suboccipital nerve is the dorsal primary ramus of the first cervical nerve (Fig. 6). The atlantooccipital joint has a large range of rotation in the cervical spine secondary to the atlantoaxial joint. Similar with facet violation in the lumbar spine, screw violation of the atlantooccipital joint could induce impingement and impair the joint surface, thus leading to traumatic arthritis. Additionally, atlantooccipital ...
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Citations
... Restore cervical physiological radian was difficult to summarize clinical atlanto-axial abnormalities in patients with vertebral dislocation [11]. However, a new type of head and neck fixation and traction device could be used to achieve fixed traction before operation, which could reduce the atlantoaxial deformation, and thus lay a good foundation for the subsequent operation of reduction, so as to obtain a higher clinical traction effect [12]. A higher head and neck fixation effect could be obtained, so that the head of patients could maintain a normal physiological position, and finally improve the quality of life of patients while improving the curative effect [13]. ...
Background
In order to improve the clinical medical technology, enhance the clinical effect and improve the disease detection rate, the clinical incidence rate of atlantoaxial dislocation and vertebral body malformation that are difficult to summarize is increasing year by year.
Methods
A total of 80 patients with atlantoaxial dislocation deformity treated in our hospital from January 2017 to May 2021 are selected for this study. According to the number table method, 80 patients are randomly divided into the auxiliary group and the traditional group, with 40 cases in each group. The traditional group is treated with posterior atlantoaxial pedicle screw system internal fixation and intervertebral fusion, and the auxiliary implementation and application of a new head and neck fixation and traction device through nasal cannula and oral release decompression fixation for posterior fusion. The patients in the two groups are compared changes and differences in efficacy, spinal cord function index, pain score, surgery, and quality of life.
Results
Compared with the traditional group, the total clinical effective rate, cervical spine extension and flexion range of motion, physical function, physical function, psychological function, and social function in the auxiliary group are significantly improved. The operation time, intraoperative blood loss, and VAS score are significantly reduced (P < 0.05).
Conclusion
The new head and neck fixation traction device can improve the surgical efficacy and quality of life of patients with irreversible atlantoaxial dislocation, enhance spinal cord function, reduce pain symptoms and surgical risks, and is worthy of clinical application.
