An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial Dislocation
STUDY DESIGN.Retrospective study. OBJECTIVE.The aim of the study was to introduce the surgical techniques and evaluate the clinical outcomes of transoral atlantoaxial reduction plate (TARP) for the treatment of atlantoaxial dislocation. SUMMARY OF BACKGROUND DATA.Researchers have reported on transor...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2016-10, Vol.41 (19), p.E1151-E1158 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | Yin, Qing-Shui Li, Xue-Shi Bai, Zhao-Hui Mai, Xiao-Hong Xia, Hong Wu, Zeng-Hui Ma, Xiang-Yang Ai, Fu-Zhi Wang, Jian-Hua Zhang, Kai |
| description | STUDY DESIGN.Retrospective study.
OBJECTIVE.The aim of the study was to introduce the surgical techniques and evaluate the clinical outcomes of transoral atlantoaxial reduction plate (TARP) for the treatment of atlantoaxial dislocation.
SUMMARY OF BACKGROUND DATA.Researchers have reported on transoral plate internal fixation for the treatment of irreducible atlantoaxial dislocation (IAAD) without long-term follow-up and detailed clinical experience.
METHODS.The clinical records of 388 patients with atlantoaxial dislocation (IAAD, 340 cases; fixed atlantoaxial dislocation [FAAD], 48 cases) who received the TARP procedure from April 2003 to September 2014 were retrospectively reviewed. They were treated separately with TARP-I or TARP-II (82 cases), TARP-III (248 cases), or TARP-IV (58 cases). X-ray and magnetic resonance imaging were used to evaluate the efficacy of reduction and the degree of decompression, respectively. The long-term clinical outcome was evaluated by Japanese Orthopaedic Association scoring and the Symon and Lavender standard.
RESULTS.Immediate reduction was achieved for all the patients with IAAD (340/340), whereas anatomical reduction was achieved for 98.2% of patients (334/340). Anatomical reduction was achieved in 87.5% of patients with FAAD (42/48). The average degree of spinal cord decompression ranged from 75% to 100% with an average of 88.4%. The clinical data of 106 patients were evaluated in the latest follow-up (12–108 mo, average 60.5 mo). The average spinal cord improvement rate by Japanese Orthopaedic Association scoring was 62.1%. According to the Symon and Lavender standard, there were 85 cases rated as markedly effective, 104 cases as effective, and 2 cases as noneffective. The overall markedly effective rate was 80% and the effective rate was 98%.
CONCLUSION.The TARP procedure showed good anterior atlantoaxial release, reduction, decompression, and internal fixation for patients with IAAD and FAAD through a single anterior approach. It has the advantages of three-dimensional immediate atlantoaxial reduction and sufficient decompression.Level of Evidence3 |
| doi_str_mv | 10.1097/BRS.0000000000001593 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1825214262</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1825214262</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4673-c7be87d32c6c46db9edbc68a7b38d5ffafa921ddb535c9b281e4df0594ed84c33</originalsourceid><addsrcrecordid>eNqFkctOwzAQRS0EoqXwBwhlySbgV5xkWcpTqkRVyoJV5NgTNZDGxXYo_D0uBYRYgDf2XJ07M7pG6JDgE4Lz9PRseneCfxyS5GwL9UlCs5iEYhv1MRM0ppyJHtpz7jFAgpF8F_Voinl48T6aDduIkPgBpI2m8FLDKjJV5OcQzYbTSTSxRoHuLER1u1EtSL-A1q-xoW9k6418rWUTndeuMUr62rT7aKeSjYODz3uA7i8vZqPreHx7dTMajmPFRcpilZaQpZpRJYKgyxx0qUQm05JlOqkqWcmcEq3LhCUqL2lGgOsKJzkHnXHF2AAdb_ourXnuwPliUTsFTdgKTOcKktGEEk4FDSjfoMoa5yxUxdLWC2nfCoKLdZ5FyLP4nWewHX1O6MoF6G_TV4AByDbAyjQerHtquhXYYg6y8fP_evM_rGssFSz8HyaCBAuOPyT2DodvkI0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1825214262</pqid></control><display><type>article</type><title>An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial Dislocation</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Yin, Qing-Shui ; Li, Xue-Shi ; Bai, Zhao-Hui ; Mai, Xiao-Hong ; Xia, Hong ; Wu, Zeng-Hui ; Ma, Xiang-Yang ; Ai, Fu-Zhi ; Wang, Jian-Hua ; Zhang, Kai</creator><creatorcontrib>Yin, Qing-Shui ; Li, Xue-Shi ; Bai, Zhao-Hui ; Mai, Xiao-Hong ; Xia, Hong ; Wu, Zeng-Hui ; Ma, Xiang-Yang ; Ai, Fu-Zhi ; Wang, Jian-Hua ; Zhang, Kai</creatorcontrib><description>STUDY DESIGN.Retrospective study.
OBJECTIVE.The aim of the study was to introduce the surgical techniques and evaluate the clinical outcomes of transoral atlantoaxial reduction plate (TARP) for the treatment of atlantoaxial dislocation.
SUMMARY OF BACKGROUND DATA.Researchers have reported on transoral plate internal fixation for the treatment of irreducible atlantoaxial dislocation (IAAD) without long-term follow-up and detailed clinical experience.
METHODS.The clinical records of 388 patients with atlantoaxial dislocation (IAAD, 340 cases; fixed atlantoaxial dislocation [FAAD], 48 cases) who received the TARP procedure from April 2003 to September 2014 were retrospectively reviewed. They were treated separately with TARP-I or TARP-II (82 cases), TARP-III (248 cases), or TARP-IV (58 cases). X-ray and magnetic resonance imaging were used to evaluate the efficacy of reduction and the degree of decompression, respectively. The long-term clinical outcome was evaluated by Japanese Orthopaedic Association scoring and the Symon and Lavender standard.
RESULTS.Immediate reduction was achieved for all the patients with IAAD (340/340), whereas anatomical reduction was achieved for 98.2% of patients (334/340). Anatomical reduction was achieved in 87.5% of patients with FAAD (42/48). The average degree of spinal cord decompression ranged from 75% to 100% with an average of 88.4%. The clinical data of 106 patients were evaluated in the latest follow-up (12–108 mo, average 60.5 mo). The average spinal cord improvement rate by Japanese Orthopaedic Association scoring was 62.1%. According to the Symon and Lavender standard, there were 85 cases rated as markedly effective, 104 cases as effective, and 2 cases as noneffective. The overall markedly effective rate was 80% and the effective rate was 98%.
CONCLUSION.The TARP procedure showed good anterior atlantoaxial release, reduction, decompression, and internal fixation for patients with IAAD and FAAD through a single anterior approach. It has the advantages of three-dimensional immediate atlantoaxial reduction and sufficient decompression.Level of Evidence3</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0000000000001593</identifier><identifier>PMID: 27043194</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Adult ; Aged ; Atlanto-Axial Joint - surgery ; Bone Plates ; Bone Screws ; Child ; Child, Preschool ; Decompression, Surgical - methods ; Female ; Follow-Up Studies ; Humans ; Joint Dislocations - surgery ; Male ; Middle Aged ; Retrospective Studies ; Spinal Fusion - methods ; Treatment Outcome ; Young Adult</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2016-10, Vol.41 (19), p.E1151-E1158</ispartof><rights>Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4673-c7be87d32c6c46db9edbc68a7b38d5ffafa921ddb535c9b281e4df0594ed84c33</citedby><cites>FETCH-LOGICAL-c4673-c7be87d32c6c46db9edbc68a7b38d5ffafa921ddb535c9b281e4df0594ed84c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27043194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yin, Qing-Shui</creatorcontrib><creatorcontrib>Li, Xue-Shi</creatorcontrib><creatorcontrib>Bai, Zhao-Hui</creatorcontrib><creatorcontrib>Mai, Xiao-Hong</creatorcontrib><creatorcontrib>Xia, Hong</creatorcontrib><creatorcontrib>Wu, Zeng-Hui</creatorcontrib><creatorcontrib>Ma, Xiang-Yang</creatorcontrib><creatorcontrib>Ai, Fu-Zhi</creatorcontrib><creatorcontrib>Wang, Jian-Hua</creatorcontrib><creatorcontrib>Zhang, Kai</creatorcontrib><title>An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial Dislocation</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>STUDY DESIGN.Retrospective study.
OBJECTIVE.The aim of the study was to introduce the surgical techniques and evaluate the clinical outcomes of transoral atlantoaxial reduction plate (TARP) for the treatment of atlantoaxial dislocation.
SUMMARY OF BACKGROUND DATA.Researchers have reported on transoral plate internal fixation for the treatment of irreducible atlantoaxial dislocation (IAAD) without long-term follow-up and detailed clinical experience.
METHODS.The clinical records of 388 patients with atlantoaxial dislocation (IAAD, 340 cases; fixed atlantoaxial dislocation [FAAD], 48 cases) who received the TARP procedure from April 2003 to September 2014 were retrospectively reviewed. They were treated separately with TARP-I or TARP-II (82 cases), TARP-III (248 cases), or TARP-IV (58 cases). X-ray and magnetic resonance imaging were used to evaluate the efficacy of reduction and the degree of decompression, respectively. The long-term clinical outcome was evaluated by Japanese Orthopaedic Association scoring and the Symon and Lavender standard.
RESULTS.Immediate reduction was achieved for all the patients with IAAD (340/340), whereas anatomical reduction was achieved for 98.2% of patients (334/340). Anatomical reduction was achieved in 87.5% of patients with FAAD (42/48). The average degree of spinal cord decompression ranged from 75% to 100% with an average of 88.4%. The clinical data of 106 patients were evaluated in the latest follow-up (12–108 mo, average 60.5 mo). The average spinal cord improvement rate by Japanese Orthopaedic Association scoring was 62.1%. According to the Symon and Lavender standard, there were 85 cases rated as markedly effective, 104 cases as effective, and 2 cases as noneffective. The overall markedly effective rate was 80% and the effective rate was 98%.
CONCLUSION.The TARP procedure showed good anterior atlantoaxial release, reduction, decompression, and internal fixation for patients with IAAD and FAAD through a single anterior approach. It has the advantages of three-dimensional immediate atlantoaxial reduction and sufficient decompression.Level of Evidence3</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Atlanto-Axial Joint - surgery</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Decompression, Surgical - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint Dislocations - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Spinal Fusion - methods</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctOwzAQRS0EoqXwBwhlySbgV5xkWcpTqkRVyoJV5NgTNZDGxXYo_D0uBYRYgDf2XJ07M7pG6JDgE4Lz9PRseneCfxyS5GwL9UlCs5iEYhv1MRM0ppyJHtpz7jFAgpF8F_Voinl48T6aDduIkPgBpI2m8FLDKjJV5OcQzYbTSTSxRoHuLER1u1EtSL-A1q-xoW9k6418rWUTndeuMUr62rT7aKeSjYODz3uA7i8vZqPreHx7dTMajmPFRcpilZaQpZpRJYKgyxx0qUQm05JlOqkqWcmcEq3LhCUqL2lGgOsKJzkHnXHF2AAdb_ourXnuwPliUTsFTdgKTOcKktGEEk4FDSjfoMoa5yxUxdLWC2nfCoKLdZ5FyLP4nWewHX1O6MoF6G_TV4AByDbAyjQerHtquhXYYg6y8fP_evM_rGssFSz8HyaCBAuOPyT2DodvkI0</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Yin, Qing-Shui</creator><creator>Li, Xue-Shi</creator><creator>Bai, Zhao-Hui</creator><creator>Mai, Xiao-Hong</creator><creator>Xia, Hong</creator><creator>Wu, Zeng-Hui</creator><creator>Ma, Xiang-Yang</creator><creator>Ai, Fu-Zhi</creator><creator>Wang, Jian-Hua</creator><creator>Zhang, Kai</creator><general>Wolters Kluwer Health, Inc. All rights reserved</general><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial Dislocation</title><author>Yin, Qing-Shui ; Li, Xue-Shi ; Bai, Zhao-Hui ; Mai, Xiao-Hong ; Xia, Hong ; Wu, Zeng-Hui ; Ma, Xiang-Yang ; Ai, Fu-Zhi ; Wang, Jian-Hua ; Zhang, Kai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4673-c7be87d32c6c46db9edbc68a7b38d5ffafa921ddb535c9b281e4df0594ed84c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Atlanto-Axial Joint - surgery</topic><topic>Bone Plates</topic><topic>Bone Screws</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Decompression, Surgical - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint Dislocations - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Spinal Fusion - methods</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yin, Qing-Shui</creatorcontrib><creatorcontrib>Li, Xue-Shi</creatorcontrib><creatorcontrib>Bai, Zhao-Hui</creatorcontrib><creatorcontrib>Mai, Xiao-Hong</creatorcontrib><creatorcontrib>Xia, Hong</creatorcontrib><creatorcontrib>Wu, Zeng-Hui</creatorcontrib><creatorcontrib>Ma, Xiang-Yang</creatorcontrib><creatorcontrib>Ai, Fu-Zhi</creatorcontrib><creatorcontrib>Wang, Jian-Hua</creatorcontrib><creatorcontrib>Zhang, Kai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yin, Qing-Shui</au><au>Li, Xue-Shi</au><au>Bai, Zhao-Hui</au><au>Mai, Xiao-Hong</au><au>Xia, Hong</au><au>Wu, Zeng-Hui</au><au>Ma, Xiang-Yang</au><au>Ai, Fu-Zhi</au><au>Wang, Jian-Hua</au><au>Zhang, Kai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial Dislocation</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>41</volume><issue>19</issue><spage>E1151</spage><epage>E1158</epage><pages>E1151-E1158</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><abstract>STUDY DESIGN.Retrospective study.
OBJECTIVE.The aim of the study was to introduce the surgical techniques and evaluate the clinical outcomes of transoral atlantoaxial reduction plate (TARP) for the treatment of atlantoaxial dislocation.
SUMMARY OF BACKGROUND DATA.Researchers have reported on transoral plate internal fixation for the treatment of irreducible atlantoaxial dislocation (IAAD) without long-term follow-up and detailed clinical experience.
METHODS.The clinical records of 388 patients with atlantoaxial dislocation (IAAD, 340 cases; fixed atlantoaxial dislocation [FAAD], 48 cases) who received the TARP procedure from April 2003 to September 2014 were retrospectively reviewed. They were treated separately with TARP-I or TARP-II (82 cases), TARP-III (248 cases), or TARP-IV (58 cases). X-ray and magnetic resonance imaging were used to evaluate the efficacy of reduction and the degree of decompression, respectively. The long-term clinical outcome was evaluated by Japanese Orthopaedic Association scoring and the Symon and Lavender standard.
RESULTS.Immediate reduction was achieved for all the patients with IAAD (340/340), whereas anatomical reduction was achieved for 98.2% of patients (334/340). Anatomical reduction was achieved in 87.5% of patients with FAAD (42/48). The average degree of spinal cord decompression ranged from 75% to 100% with an average of 88.4%. The clinical data of 106 patients were evaluated in the latest follow-up (12–108 mo, average 60.5 mo). The average spinal cord improvement rate by Japanese Orthopaedic Association scoring was 62.1%. According to the Symon and Lavender standard, there were 85 cases rated as markedly effective, 104 cases as effective, and 2 cases as noneffective. The overall markedly effective rate was 80% and the effective rate was 98%.
CONCLUSION.The TARP procedure showed good anterior atlantoaxial release, reduction, decompression, and internal fixation for patients with IAAD and FAAD through a single anterior approach. It has the advantages of three-dimensional immediate atlantoaxial reduction and sufficient decompression.Level of Evidence3</abstract><cop>United States</cop><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>27043194</pmid><doi>10.1097/BRS.0000000000001593</doi></addata></record> |
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| subjects | Adolescent Adult Aged Atlanto-Axial Joint - surgery Bone Plates Bone Screws Child Child, Preschool Decompression, Surgical - methods Female Follow-Up Studies Humans Joint Dislocations - surgery Male Middle Aged Retrospective Studies Spinal Fusion - methods Treatment Outcome Young Adult |
| title | An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial Dislocation |
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