Small needle knife combined with electrical cervical traction for atlantoaxial subluxation
Shenghuo Li, Feihong Chen
Abstract
Shenghuo Li, Feihong Chen
Abstract
Objective To evaluate the clinical effect of small needle knife combined with electrical cervical traction for atlantoaxial subluxation (ARD). Methods 2018, 86 patients with ARD admitted to our department from January, 2017 to January were enrolled, and were divided into a control group and an observation group, 43 cases for each group. The control group was treated with acupuncture and traditional traction therapy such as physiotherapy and manipulation; and the observation group were treated with small needle knife and electrical cervical traction. The clinical effects of the two groups were compared after the treatments. Results The total effective rate was 97.67% in the observation group, and was 74.42% in the control group (χ2=11.179 8, P<0.05). The VAS score, the anterior space of the caries, and the difference of odontoid gap after treatment were lower after than before the treatment in both groups (all P<0.05), and were lower in the observation group than in the control group (t=-4.715 3, -2.895 7, and 7.358 6, all P<0.05). Conclusion Small needle knife combined with electrical cervical traction for ARD is effective, and can reduce the incidence of complications and increase the patients’ comfort, quality of life, satisfaction, so it is worth being generalized in the departments of orthopaedics and rehabilitation medicine. Key words: Atlantoaxial rotatory dislocation; Small needle knife; Electrical cervical traction
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Objective To evaluate the clinical effect of small needle knife combined with electrical cervical traction for atlantoaxial subluxation (ARD). Methods 2018, 86 patients with ARD admitted to our department from January, 2017 to January were enrolled, and were divided into a control group and an observation group, 43 cases for each group. The control group was treated with acupuncture and traditional traction therapy such as physiotherapy and manipulation; and the observation group were treated with small needle knife and electrical cervical traction. The clinical effects of the two groups were compared after the treatments. Results The total effective rate was 97.67% in the observation group, and was 74.42% in the control group (χ2=11.179 8, P<0.05). The VAS score, the anterior space of the caries, and the difference of odontoid gap after treatment were lower after than before the treatment in both groups (all P<0.05), and were lower in the observation group than in the control group (t=-4.715 3, -2.895 7, and 7.358 6, all P<0.05). Conclusion Small needle knife combined with electrical cervical traction for ARD is effective, and can reduce the incidence of complications and increase the patients’ comfort, quality of life, satisfaction, so it is worth being generalized in the departments of orthopaedics and rehabilitation medicine. Key words: Atlantoaxial rotatory dislocation; Small needle knife; Electrical cervical traction
Key concepts: Medicine, Subluxation, Traction (geology), Surgery, Orthopedic surgery, Cervical spine, Clinical efficacy, Geomorphology