Release, reduction, and fixation of one-stage posterior approach for basilar invagination with irreducible atlantoaxial dislocation

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منابع مشابه

Surgical Management of Adult Reducible Atlantoaxial Dislocation, Basilar Invagination and Chiari Malformation with Syringomyelia.

AIM To analyze retrospectively the surgical management of reducible atlantoaxial dislocation (AAD), basilar invagination (BI) and Chiari malformation (CHM) with syringomyelia through a single-stage posterior approach. MATERIAL AND METHODS Forty-three patients with reducible AAD, BI and CHM with syringomyelia underwent surgery from January 2009 to January 2013. Intraoperative restoration follo...

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Craniovertebral realignment for basilar invagination and atlantoaxial dislocation secondary to rheumatoid arthritis.

OBJECTIVE We present our experience of treating nine consecutive cases of rheumatoid arthritis involving the craniovertebral junction by atlantoaxial joint manipulation and attempts towards restoration of craniovertebral region alignments. MATERIAL AND RESULTS Between November 2001 and March 2004, nine cases of rheumatoid arthritis involving the craniovertebral junction were treated in our de...

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Compression-distraction reduction surgical verification and optimization to treat the basilar invagination and atlantoaxial dislocation: a finite element analysis

BACKGROUND Basilar invagination (BI) combined with atlantoaxial dislocation (AAD) leads to foramen magnum stenosis and medullary spinal cord compression, causing nerve dysfunction. The purpose of the surgery is to remove the bony compression at brainstem ventral side and fix the unstable spinal segment and make it fused stably. Occipital cervical internal fixation system that simultaneously red...

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Surgical Management of Irreducible Atlantoaxial Dislocation

The classification and treatment of atlantoaxial dislocations (AAD) remains controversial. Despite existing debate among the literature, it is generally accepted that the treatment of symptomatic AAD should be surgical reduction and fixation. More recently, there has also been acknowledgement among treating surgeons that there are substantial differences between irreducible and reducible AAD, w...

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Somatosensory and brainstem auditory evoked potential in congenital craniovertebral anomaly; effect of surgical management.

Clinical features and evoked potential recordings were analysed in 32 patients with congenital atlantoaxial dislocation before and after surgery. Seven patients (group 1) had atlantoaxial dislocation, while 22 patients had associated basilar invagination (group 2). In both groups, pyramidal tract signs, posterior column signs, wasting of the upper limbs, and abnormality of somatosensory evoked ...

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ژورنال

عنوان ژورنال: British Journal of Neurosurgery

سال: 2020

ISSN: 0268-8697,1360-046X

DOI: 10.1080/02688697.2020.1861217