Subject(s)
Diskectomy , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/pathology , Lumbar Vertebrae/surgery , Adolescent , Female , Humans , Intervertebral Disc Displacement/physiopathology , Intervertebral Disc Displacement/therapy , Lumbar Vertebrae/physiopathology , Male , Postoperative Period , Time Factors , Treatment Outcome , Young AdultABSTRACT
OBJECTIVE: To summarize and analyze the therapeutic effect of traumatic upper cervical instability and investigate therapeutic methods and effect. METHODS: There were 19 patients with traumatic upper cervical instability (male 16, female 3), aged from 21 to 56 years,included 3 cases of atlas fracture, 10 cases of dens fracture, 3 cases of axis pedicle fracture, 3 cases of atlanto-axial subluxation. Among them, 6 cases included 1 case of dens fracture, 1 case of dens fracture affiliated with atlas fracture, 1 case of axis pedicle fracture, 3 cases of atlanto-axial subluxation were treated conservatively and the other 13 cases were treated by operations. RESULTS: Nineteen cases were followed up for 1.8 years in average (6 months to 6 years). According to JOA standard for evaluation, the rate of improvement was 42.5% and 87.0% for conservative treatment and operation respectively. CONCLUSION: Traumatic super cervical unsteadiness should be diagnosed and treated early. Under the condition of upper cervical vertebra being completely fixed,the function of cervical vertebra to maximum extent could be reserved when choosing operation method. Especially, the precise fusion of upper cervical vertebra plays a vital role of long-term efficacy.
Subject(s)
Cervical Vertebrae/injuries , Cervical Vertebrae/surgery , Joint Instability/surgery , Adult , Female , Humans , Internal Fixators , Male , Middle AgedABSTRACT
OBJECTIVE: To obtain the epidemiological data of sleep apnea-hypopnea sydrome (SAHS) in Taiyuan. METHODS: A questionnaire survey was performed in 6 028 people living in Taiyuan. The prevalence of SAHS was estimated by a two-stage procedure. In the first stage, stratified cluster disproportional random sampling survey was performed in Taiyuan. 6 028 questionnaires were send to random sample of defined population in the 4 sites selected from 2 districts. The response rate was 85.11%. During the second stage 476 of those highly suspected of having SAHS (ESS >/= 9) underwent all-night polysomnographic (PSG) studies. RESULTS: From the study population, 179 were diagnosed as having SAHS. The overall prevalence was 3.5% (male 4.7% and female 1.9%). CONCLUSION: The prevalence of SAHS was 3.5% among Taiyuan.
