Long-term follow up of transoral anterior decompression and posterior fusion for irreducible bony compression of the craniovertebral junction

Lee, Sun-Ho; Park, Kwan; Kong, Doo‐Sik; Kim, Eun Sang; Eoh, Whan

doi:10.1016/j.jocn.2009.08.012

Cited by 9 publications

(4 citation statements)

References 25 publications

(46 reference statements)

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“…Therefore, decom- pression and fixation must be done simultaneously to treat this type of malformation. 15,16 However, there is no agreement among specialists regarding the appropriate surgical procedures that should be used for this condition. Pearce et al believe that 80% of platybasia patients have no symptoms of cerebellar tonsillar herniation and syringomyelia; their clinical symptoms mainly result from direct compression of the brainstem by the anterior upwardly shifted odontoid.…”

Section: Discussionmentioning

confidence: 99%

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

Li¹,

Yu²,

Wang³

et al. 2012

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

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

Li¹,

Yu²,

Wang³

et al. 2012

Journal of Clinical Neuroscience

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“…Recent publications have outlined the problems of iCT with integrated NNS to access the cranial base and upper cervical spine. 15,23,24 The conventional fiducial-based registration method does not provide sufficient accuracy for cranial base procedures. 14,25 As the automated registration system combined with iCT has been widely used in NNS, the transfer of information is faster and the random mean square error is much better than that obtained with conventional approaches.…”

Section: Discussionmentioning

confidence: 99%

Individualized Treatment of Craniovertebral Junction Malformation Guided by Intraoperative Computed Tomography

Wang²,

Chen³

et al. 2012

Journal of Spinal Disorders &Amp; Techniques

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“…Debridement and resuturing, as an effective method, is required for patients with oral wound dehiscence. In addition, venous nutritional support could enhance oral wound recovery, especially for patients with metabolic diseases or malnutrition [ 38 ].…”

Section: Main Textmentioning

confidence: 99%

Preoperative management and postoperative complications associated with transoral decompression for the upper cervical spine

Wang

Feng

et al. 2022

BMC Musculoskelet Disord

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Purpose This review aimed to describe the preoperative management and postoperative complications associated with transoral decompression of the upper cervical spine, and to clarify the risk factors, related issues and complication management. Methods Studies on transoral decompression for the upper cervical spine were reviewed systematically. The preoperative management and postoperative complications associated with transoral decompression for upper cervical deformities were analyzed. Results Evidence suggests that preoperative management in patients undergoing transoral decompression for the upper cervical spine is closely related to the occurrence of postoperative complications. Hence, preoperative surgical planning, preoperative preparation, and oral nursing care should be seriously considered in these patients. Moreover, while being established as an effective and safe method, transoral decompression is associated with several postoperative complications, which could be prevented by elaborate preoperative management, improved surgical skills, and appropriate precautionary measures. Conclusions The effectiveness and safety of transoral decompression has been improved by the constant development of operative techniques and advanced auxiliary diagnostic and therapeutic methods, with the understanding of the anatomical structure of the craniocervical joint. Therefore, the incidence rates of postoperative complications have decreased. The application of individualized anterior implants and less-invasive endoscopic endonasal approach has improved the effectiveness of transoral decompression and reduced the associated complications.

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Long-term follow up of transoral anterior decompression and posterior fusion for irreducible bony compression of the craniovertebral junction

Cited by 9 publications

References 25 publications

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

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

Individualized Treatment of Craniovertebral Junction Malformation Guided by Intraoperative Computed Tomography

Preoperative management and postoperative complications associated with transoral decompression for the upper cervical spine

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