Retro-odontoid Degenerative Pseudotumour Causing Spinal Cord Compression and Myelopathy: Current Evidence on the Role of Posterior C1–C2 Fixation in Treatment
| Autor: | Francesco Certo, Giuseppe Barbagallo, Massimiliano Maione, Massimiliano Visocchi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
endocrine system
medicine.medical_specialty business.industry medicine.medical_treatment Laminectomy Pannus medicine.disease Spinal cord 030218 nuclear medicine & medical imaging Surgery Lesion 03 medical and health sciences Myelopathy 0302 clinical medicine medicine.anatomical_structure Spinal cord compression Rheumatoid arthritis medicine medicine.symptom business 030217 neurology & neurosurgery Fixation (histology) |
| Zdroj: | Acta Neurochirurgica Supplement ISBN: 9783319625140 |
| DOI: | 10.1007/978-3-319-62515-7_37 |
| Popis: | Background: A retro-odontoid pseudotumour compressing the spinal cord and causing myelopathy is often associated with an inflammatory condition such as rheumatoid arthritis. A degenerative non-inflammatory retro-odontoid pseudotumour responsible for clinically relevant spinal cord compression is a rare condition described in small clinical series and is likely associated with craniovertebral junction hypermobility or instability–like conditions. For several years, direct removal of the lesion through an anterior or lateral approach has been advocated as the best surgical option. However, in the last decade the posterior approach to the craniovertebral junction, to perform C1–C2 fixation and C1 laminectomy without removal of the retro-odontoid tissue, has demonstrated its efficacy in reducing retro-odontoid pannus as well as in obtaining improvement of myelopathy. |
| Databáze: | OpenAIRE |
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