Reconsideration of the transoral odontoidectomy in complex craniovertebral junction patients with irreducible anterior compression

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The Craniovertebral Junction: Posterior and Anterior Approaches. State of Art

The approach to the lesion is dictated by the location and nature of the compression (1). When preoperative dynamic neuroradiological examinations demonstrate that the CVJ compression is reducible, neural decompression may be obtained by simply reducing the dislocation as well as by stabilizing the CVJ with a posterior instrumentation, either with wires, claws or screws (“functional decompressi...

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Respiratory abnormalities due to craniovertebral junction compression in rheumatoid disease.

OBJECTIVE To assess the extent and severity of respiratory insufficiency associated with severe rheumatoid atlantoaxial dislocation and its relation to compression of the neuraxis. METHODS Twelve patients with severe atlantoaxial dislocation due to rheumatoid disease were studied. Detailed clinical, CT myelography and respiratory assessment including nocturnal oximetry, were performed on all ...

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ژورنال

عنوان ژورنال: Chinese Neurosurgical Journal

سال: 2020

ISSN: 2057-4967

DOI: 10.1186/s41016-020-00210-4