Endoscopic endonasal resection of the odontoid peg for paediatric basilar invagination

British Journal of Neurosurgery
Saurabh SinhaJohn McMullan

Abstract

Osteogenesis imperfecta (OI) is a genetic disorder whose primary manifestations are fractures, bone deformity and bone pain. Brainstem compression due to basilar invagination is a rare and potentially life-threatening complication of OI. Children with this condition often require significant medical input and multiple admissions to hospital. Traditionally, anterior decompression is carried out through an open trans-oral route. We describe an endoscopic endonasal approach for resection of the peg in a child with OI and basilar invagination. We believe this approach provides an excellent alternative with minimal morbidity and decreased length of stay especially in the paediatric population.

Citations

Oct 2, 2014·Neurosurgical Focus·Juan Antonio Ponce-GómezJuan Barges-Coll
Jul 6, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sien Hui TanVicknes Waran
Jan 19, 2013·British Journal of Neurosurgery·Simon Lammy
Mar 25, 2015·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·Massimiliano VisocchiGaetano Paludetti
May 7, 2015·International Forum of Allergy & Rhinology·Christina H FangJean Anderson Eloy
Feb 26, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Sien Hui TanDharmendra Ganesan
Nov 2, 2014·Journal of Neurosurgery·Tony GoldschlagerTheodore H Schwartz

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