Posterior realignment of basilar invagination with facet joint distraction technique*
| Autor: | Aslan Guzel, Serkan Simsek, Kazim Yigitkanli |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Orthodontics
Vertebral artery injury Atlantoaxial dislocation business.industry medicine.medical_treatment Basilar invagination General Medicine medicine.disease Facet joint 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Distraction medicine Surgery Neurology (clinical) business Joint (geology) 030217 neurology & neurosurgery Reduction (orthopedic surgery) |
| Zdroj: | British Journal of Neurosurgery. :1-8 |
| ISSN: | 1360-046X 0268-8697 |
| Popis: | We describe our experience with management of basilar invagination (BI) with the atlantoaxial dislocation (C1/C2) joint reduction technique, including posterior atlantoaxial internal fixation.From 2008 to 2018, eleven patients with atlantoaxial dislocation (AAD) and BI underwent surgical reduction using C1/C2 the joint reduction technique with a fibular graft/peek cage placement followed by C1 lateral mass/C2 pedicle screw fixation. In two cases that we originally planned to perform C1/C2 joint reduction, occiput-C2 pedicle screw fixation was performed instead due to intraoperative challenges. Post-operative course and surgical complications will be discussed.A total of 13 patients, with an average age of 30.46 ± 13.23 years (range 12-57), were operated. In one patient, iatrogenic vertebral artery injury occurred without any neurological complication. JOA score improved from 10.45 ± 1.128 to 15.0 ± 1.949 (C1/C2 joint reduction technique with fibular graft/cervical PEEK cage of BI patients together with AAD seems to be an effective and safe surgical method of treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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