ANTERIOR AND POSTERIOR APPROACHES TO CRANIOVERTEBRAL JUNCTION ANOMALIES
| Autor: | Satoshi Kobayashi, Masao Sugita, Hiroshi K. Inoue, Katsumi Ohbayashi, Akiyoshi Ohtsuka, Tadao Tsunoda, Terutaka Nishimatsu, Hideaki Kohga |
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| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Foramen magnum medicine.diagnostic_test Decompression business.industry medicine.medical_treatment Magnetic resonance imaging Neck collar Traction (orthopedics) Mr imaging eye diseases Surgery medicine.anatomical_structure Halo vest medicine Neurological findings sense organs business |
| Zdroj: | The KITAKANTO Medical Journal. 44:283-287 |
| ISSN: | 1883-6135 0023-1908 |
| Popis: | Therapeutic policy and operative approaches to craniovertebral junction anomalies with instability are reported in three representative cases. Gradual traction and as much reforming of the basilar impression as possible were performed for at least 30 days using a halo vest. The operative indication and approaches were decided depending on neurological findings and magnetic resonance images after reforming by traction. Conservative treatment with a neck collar was chosen in an elderly patient without symptoms after reforming by traction. Foramen magnum decompression and occipitocervical fusion with iliac bone and a Luque rod were performed in a patient who showed marked improvement in neurological findings and on MR imaging studies after traction. Both posterior (decompression and fusion) and anterior approaches (transoral odontoidectomy) were performed in a patient who did not respond much to traction therapy. All of the patients were stable after the completion of treatment. We conclude that the halo vest traction-reforming method is useful for assessing operative indications and the subsequent safe application of anterior and/or posterior operative procedures. |
| Databáze: | OpenAIRE |
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