Analysis of the treatment of 576 patients with congenital craniovertebral junction malformations

Li, Lian-Feng; Yu, Xin-guang; Wang, Peng; Chen, Lifeng

doi:10.1016/j.jocn.2011.03.036

Cited by 16 publications

(9 citation statements)

References 25 publications

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“…The main aims of the treatments for these types of diseases are relieving the cervicomedullary compression, restoring the stability of the joint, and restoring normal cerebrospinal fluid dynamics. 23 Treatment of AAD with BI is still challenging because osseous deformities, osteophytes, and contraction of the facet capsules hinder reduction by hyperextension or cervical traction, even under general anesthesia. 2,6,24…”

Section: Yin Et Almentioning

confidence: 99%

Posterior Reduction of Fixed Atlantoaxial Dislocation and Basilar Invagination by Atlantoaxial Facet Joint Release and Fixation

Yin¹,

Tong²,

Qiao³

et al. 2016

Neurosurgery

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This series showed the safety and efficacy of the posterior C1-2 facet joint release and reduction technique for the treatment of AAD and BI. Most fixed AAD and BI cases are reducible via this method. In most cases, this method avoids transoral odontoidectomy and cervical traction. Compared with the occiput-C2 screw method, this short-segment C1-2 technique exerts less antireduction shearing force, guarantees longer bone purchase, and provides more immediate stabilization.

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Section: Yin Et Almentioning

confidence: 99%

Posterior Reduction of Fixed Atlantoaxial Dislocation and Basilar Invagination by Atlantoaxial Facet Joint Release and Fixation

Yin¹,

Tong²,

Qiao³

et al. 2016

Neurosurgery

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“…Atlantoaxial deformity usually causes serious bulbomedullary compressive lesions, which mainly results from upper cervical spinal instability and manifests as spinal cord dysfunction. Internal fixation is the mainstay treatment for atlantoaxial instability. The initial method for atlantoaxial fixation was using steel wire and laminar clamps; however, it cannot provide enough strength; even with external fixation, the atlantoaxial fixation failure rate was still high.…”

Section: Introductionmentioning

confidence: 99%

Guideline for Posterior Atlantoaxial Internal Fixation Assisted by Orthopaedic Surgical Robot

Tian

Liu

et al. 2019

Orthopaedic Surgery

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Atlantoaxial transarticular facet screw fixation (Magerl technique) and C1 lateral mass screws combined with C2 pedicle screws fixation (Harms technique) are the most commonly used techniques for posterior internal fixation in the upper cervical spine. Upper cervical spinal surgery is a technically demanding and challenging procedure because of complicated anatomical structures and frequent occurrence of anomalies. Accurate insertion of screws allows for stable and secure internal fixation, which is necessary for both techniques. Traditional methods under fluoroscopic assistance in this region cannot meet the requirements of high levels of accuracy and security during the procedure. Robot‐assisted spinal surgery can provide accurate and reliable guidance during the screw insertion, which is evidenced in the literature. As a recently developed technique, robot‐assisted surgery is supposed to be performed by skilled surgeons who have received standard training for robotic surgery. The standardized upper cervical spinal surgery assisted by the robot system needs to be introduced to these surgeons. Based on the consensus of consultant specialists, the literature review, and our local experience, this guideline included the introduction of the robotic system, the workflow of robot‐assisted procedures, and the precautions to take during procedures. This guideline aims to provide a standardization of the robotic surgery for posterior atlantoaxial internal fixation.

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“…Атлантоаксиальные дислокации (ААД) на фоне врожденных аномалий краниовертебрального перехода наиболее широко изучены в Индии и Китае [17,27,[36][37][38]. Известно, что смертность при травматических ААД составляет 60-80 % из-за резкого сдавления спинного мозга и ствола головного мозга [14,35,39], смертность при ААД на фоне врожденных аномалий краниовертебрального перехода не известна, но описана частота возникновения миелопатии -от 40 до 100 % [17,25,28,29,36]. Факторами риска неврологической нестабильности при ААД являются травмы и избыточное сгибание в шейном отделе.…”

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Clinical and Radiological Features of Atlantoaxial Dislocations Associated With Congenital Malformations of the Craniovertebral Junction

Pavlova¹,

Рябых²,

Burtsev³

et al. 2018

Hir. pozvonoč.

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Analysis of the treatment of 576 patients with congenital craniovertebral junction malformations

Cited by 16 publications

References 25 publications

Posterior Reduction of Fixed Atlantoaxial Dislocation and Basilar Invagination by Atlantoaxial Facet Joint Release and Fixation

Posterior Reduction of Fixed Atlantoaxial Dislocation and Basilar Invagination by Atlantoaxial Facet Joint Release and Fixation

Guideline for Posterior Atlantoaxial Internal Fixation Assisted by Orthopaedic Surgical Robot

Clinical and Radiological Features of Atlantoaxial Dislocations Associated With Congenital Malformations of the Craniovertebral Junction

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