The Transspinal Canal Screwing Technique for Atlantoaxial Anomalies: A Technical Note and 2 Case Reports
| العنوان: | The Transspinal Canal Screwing Technique for Atlantoaxial Anomalies: A Technical Note and 2 Case Reports |
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| المؤلفون: | Takakazu Kawamata, Motoo Kubota, Masahito Yuzurihara, Shigekuni Tachibana, Kento Takebayashi |
| المصدر: | Neurospine, Vol 16, Iss 2, Pp 293-297 (2019) Neurospine |
| بيانات النشر: | Korean Spinal Neurosurgery Society, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | musculoskeletal diseases, medicine.medical_treatment, Cervical vertebra atlas, lcsh:RC346-429, Myelopathy, Spinal cord compression, medicine, Technical Note, Subluxation, Spinal canal, Bone screws, lcsh:Neurology. Diseases of the nervous system, Foramen magnum, business.industry, Laminectomy, Anatomy, medicine.disease, Spondylolisthesis, medicine.anatomical_structure, Atlantoaxial instability, APCSS special Topic-Craniovertebral Junction Surgery, Congenital abnomalities, Cervical atlas, Surgery, Neurology (clinical), business, Syringomyelia |
| الوصف: | It is difficult to treat atlantoaxial instability in patients with a high-riding vertebral artery or anomalies of the craniocervical junction. We report 2 successful cases in which the transspinal canal screwing technique was used because of difficulties performing conventional fixation methods. Case 1: A 78-year-old woman suffered from progressive myelopathy due to severe spinal cord compression with a congenital anomaly of the craniovertebral junction. Bilateral transspinal canal screws from the axis body with spondylolisthesis to the dens were inserted by retracting the dural sac medially after foramen magnum decompression and cervical laminoplasty. Case 2: A 20-year-old man with a spinal deformity due to Loeys-Dietz syndrome presented to our hospital for treatment of syringomyelia. He had no obvious neurological deficits, but spinal cord compression due to right atlantoaxial rotating dislocation was observed. A screw was inserted from the vertebral body of the axis to the right lateral mass of the atlas via the spinal canal after laminectomy of the atlas. The transspinal canal screwing technique is useful for treating atlantoaxial instability in cases where other fixation methods are difficult. |
| اللغة: | English |
| تدمد: | 2586-6591 2586-6583 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::30bb6fd830893ec6646b8c08736ac438Test http://www.e-neurospine.org/upload/pdf/ns-1836118-059.pdfTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....30bb6fd830893ec6646b8c08736ac438 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25866591 25866583 |
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