Objective: Provide anatomic basis for the vascularized spine scapula flap in occipito cervical fusion.
目的：为枕颈融合术提供带血管蒂骨瓣转位术的应用解剖学基础。
Atlantoaxial fusion was used to treat 14 patients. Occipito cervical fusion was chosen for 8 patients.
所有患儿均行后路融合术，其中寰枢椎融合14例，枕颈融合术8例。
Conclusion Periosteum flap of occipital bone pedicled with the blood vessel could be used in the surgical procedure of occipito-cervical fusion.
结论设计带血管蒂枕骨骨膜瓣转位行枕颈融合术具有可行性。
Conclusions: spine scapula flap transposition with trapezius muscle branch and spine scapula branch is an ideal surgical method in occipito cervical fusion.
结论：在颈横动脉肩胛冈支和斜方肌支分支前结扎动脉干，可以斜方肌支—肩胛冈支为蒂设计肩胛冈骨瓣转位行枕颈融合的术式。
The lateral atlantoaxial joint surface is tilted in the sagittal plane or occipito-atlanto-axial joints are asymmetric. Each of the case may result in atlantoaxial dislocation.
寰枢外侧关节面在矢状面上倾斜，枕骨髁、寰椎、枢椎关节发育不对称，可能是导致寰枢椎脱位的另外原因。
The lateral atlantoaxial joint surface is tilted in the sagittal plane or occipito-atlanto-axial joints are asymmetric. Each of the case may result in atlantoaxial dislocation.
寰枢外侧关节面在矢状面上倾斜，枕骨髁、寰椎、枢椎关节发育不对称，可能是导致寰枢椎脱位的另外原因。
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