Anterior transoral atlantoaxial release and posterior instrumented fusion for irreducible congenital basilar invagination

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Vinod LaheriMihir Bapat

Abstract

Recently, it has been demonstrated that anterior release of tight structures via a transoral approach can assist posterior distraction-reduction technique in restoring the cranio-cervical anatomy in irreducible atlantoaxial dislocations. Our aim was to evaluate the radiological and clinical outcome of anterior release and posterior instrumentation for irreducible congenital basilar invagination. A consecutive series of 15 patients (2007-2009) with irreducible congenital basilar invagination were treated with anterior release using transoral approach. A retrospective chart review was performed. All patients presented with myelopathy. Dislocation was treated as irreducible if acceptable reduction was not achieved with traction under general anesthesia and neuromuscular paralysis. The anterior release comprised of transverse sectioning the longus colli and capitis, C1-C2 joint capsular release and intra-articular adhesiolysis with or without anterior C1 arch excision. Cantilever mechanism using posterior instrumentation was used to correct any residual malalignment. Mean age was 21.4 (10-50) years. Average duration of follow-up was 28 (24-40) months. The average preoperative JOA score was 11.4 (8-16), which improved to 15.4 (10-18...Continue Reading

References

Sep 1, 1991·Journal of Spinal Disorders·E C BenzelT Hadden
Oct 1, 1980·Journal of Neurosurgery·A H MenezesD E McDonnell
Mar 1, 1994·Radiographics : a Review Publication of the Radiological Society of North America, Inc·W R Smoker
May 6, 2005·Journal of Neurosurgery. Spine·Atul GoelPraveen Sharma
May 1, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Homère MouchatyNicola Di Lorenzo
Aug 5, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Shenglin WangHaitao Zhou
Mar 5, 2010·Neurosurgery·Justin S SmithArnold H Menezes
Mar 20, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Petr Suchomel
Apr 22, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Shenglin Wang, Chao Wang
May 29, 2010·Neurosurgery·Wesley HsuJean-Paul Wolinsky
Apr 12, 2011·Journal of Neurosurgery. Spine·R Shane TubbsAaron A Cohen-Gadol

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Citations

Jan 14, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pravin SalunkeN K Khandelwal
Sep 28, 2015·The Spine Journal : Official Journal of the North American Spine Society·Sudhir Kumar SrivastavaSunil Krishna Bhosale
Sep 5, 2018·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Sebastian RuettenMartin Komp
Apr 16, 2020·BMC Musculoskeletal Disorders·Jianwei GuoYongming Xi
Apr 18, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jian GuanFengzeng Jian
Jan 4, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jian GuanFengzeng Jian

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