Istanbul Cad. Telekom sok, No:4 Saban Residence A Blok D7, Eyüp Göktürk 34077 Istanbul
Turkey
Research Article
Single-Stage Posterior Decompression and Occipitocervical Fusion Using a Screw-Rod-Plate System for Basilar Invagination with Anterior Spinal Cord Compression and Craniocervical Instability
Author(s): Ramazan Alper Kaya, Kenan Kibici and Ali Önder AtçaRamazan Alper Kaya, Kenan Kibici and Ali Önder Atça
Purpose: To review our experience with surgical management of basilar invagination causing foramen magnum compression, focusing on selection of the surgical approach.
Methods: Twelve consecutive patients underwent posterior foramen magnum decompression with occipitocervical fixation and fusion for treatment of basilar invagination causing brain stem compression and instability. Gentle traction and reduction during positioning of the patients also were performed. Ventral decompression (odontoid resection) was performed in none of the patients. Pre- and postoperative neurologic status was graded according to JOA and Nurick scales.
Results: All patients had anterior spinal cord compression due to cranial settling of the cervical spinal column as well as instability at the craniocervical junction. The average follow-up.. Read More»
DOI:
10.4172/2165-7939.1000305
Journal of Spine received 2022 citations as per Google Scholar report