Journal article
Craniocervical abnormalities: A comprehensive surgical approach
Journal of neurosurgery, Vol.53(4), pp.444-455
10/1980
DOI: 10.3171/jns.1980.53.4.0444
PMID: 7420164
Abstract
✓ 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.
Details
- Title: Subtitle
- Craniocervical abnormalities: A comprehensive surgical approach
- Creators
- Arnold H MenezesJohn C VanGilderCarl J GrafDennis E McDonnell
- Resource Type
- Journal article
- Publication Details
- Journal of neurosurgery, Vol.53(4), pp.444-455
- DOI
- 10.3171/jns.1980.53.4.0444
- PMID
- 7420164
- ISSN
- 0022-3085
- eISSN
- 1933-0693
- Language
- English
- Date published
- 10/1980
- Academic Unit
- Stead Family Department of Pediatrics; Neurosurgery; Otolaryngology
- Record Identifier
- 9984040471102771
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