Craniocervical abnormalities
| Autor: | Carl J. Graf, Dennis E. McDonnell, Arnold H. Menezes, John C. VanGilder |
|---|---|
| Rok vydání: | 1980 |
| Předmět: |
Adult
Male Dorsum medicine.medical_specialty Adolescent Decompression Basilar invagination Arthritis Rheumatoid chemistry.chemical_compound Metrizamide Humans Medicine Child Myelography Aged Medulla Oblongata Surgical approach medicine.diagnostic_test business.industry Skull Middle Aged medicine.disease Posterior decompression Cervicomedullary Junction Surgery chemistry Cervical Vertebrae Female Spinal Diseases business Spinal Cord Compression |
| Zdroj: | Journal of Neurosurgery. 53:444-455 |
| ISSN: | 0022-3085 |
| DOI: | 10.3171/jns.1980.53.4.0444 |
| Popis: | ✓ Guidelines are proposed for surgical management of symptomatic abnormalities of the craniocervical junction. Experience with 17 recent cases is described. Gas or metrizamide (Amipaque) myelograms with pluridirectional tomograms revealed the etiology and mechanisms of compression of the cervicomedullary junction, as well as its reducibility. Stabilization was the goal in treatment of reducible lesions. Decompression of the cervicomedullary junction was paramount in irreducible cases. Ventral compression was treated in nine patients by transoral transpalatine resection of the odontoid-clivus complex, and all nine improved. A posterior decompression was carried out when bone impingement was present from the dorsal aspect. Fusion was performed in cases in which stability was not achieved by either procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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