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Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients

Tian Y, Xu N, Yan M, Chen J, Hung KL, Hou X, Wang S, Li W

Objective: To summarize the vertebral artery (VA) pattern of 96 “sandwich” atlantoaxial dislocation (AAD) patients and to describe the strategies of reducing the injury of VA during surgery. Methods: From 2009...
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Weak Ligaments and Sloping Joints: A New Hypothesis for Development of Congenital Atlantoaxial Dislocation and Basilar Invagination

Chauhan AK, Chandra PS, Goyal N, Chowdhury MR, Banerjee J, Tripathi M, Kabra M

Objective: Developmental bony craniovertebral junction (CVJ) anomalies seem to have a genetic basis and also abnormal joint morphology causing atlantoaxial dislocation (AAD) and basilar invagination (BI). Methods: DNA extracted polymerase chain...
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Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations

Alves OL, Pereira L, Kim SH, Grin A, Shimokawa N, Konovalov N, Zileli M

Craniovertebral junction (CVJ) trauma is a challenging clinical condition. Being a highly mobile functional unit at the junction of the skull and the vertebral column, traumatic events in this area...
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Full-Endoscopic Transcervical Ventral Decompression for Pathologies of Craniovertebral Junction: Case Series

Ohara Y, Nakajima Y, Kimura T, Kikuchi N, Sagiuchi T

Odontoidectomy is very effective for the decompression of the ventral craniovertebral junction (CVJ). Various approaches are available for the direct ventral decompression of the CVJ. Because there are many disadvantages...
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Anterior Retropharyngeal Cage Distraction and Fixation for Basilar Invagination: “The Wedge Technique”

Patkar S

OBJECTIVE: Surgery is indicated for basilar invagination (BI) in symptomatic patients. In many patients, symptoms and signs occur due to an upward-migrated and malaligned odontoid with fixed or mobile atlantoaxial...
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Basilar Invagination and Atlantoaxial Dislocation: Reduction, Deformity Correction and Realignment Using the DCER (Distraction, Compression, Extension, and Reduction) Technique With Customized Instrumentation and Implants

Sarat Chandra P, Bajaj J, Singh PK, Garg K, Agarwal D

OBJECTIVE: The technique of distraction, compression, extension, and reduction (DCER) is effective to reduce, realign, and relieve cranio-spinal compression through posterior only approach. METHODS: Study included all patients with atlantoaxial dislocation...
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Is Cervical Stabilization for All Cases of Chiari-I Malformation an Overkill? Evidence Speaks Louder Than Words!

Deora H, Behari S, Sardhara J, Singh S, Srivastava AK

Chiari I malformation is characterized by the downward displacement of cerebellar tonsils through the foramen magnum. While discussing the treatment options for Chiari I malformation, the points of focus include:...
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Traumatic Posterior Atlantoaxial Dislocation without Fracture of the Odontoid Process: A Case Report and Literature Review

Kim YK, Park JG, Jung HN, Kim JW, Lee SJ

Traumatic posterior atlantoaxial dislocation without odontoid fracture is very rare. Patient prognosis depends on the neurologic symptoms or the extent of damage to the structures. In this case, a 78-year-old-male...
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C2-3 Fusion, C3-4 Cord Compression and C1-2 Posterior Facetal Instability: An Evaluation of Treatment Strategy Based on Four Surgically Treated Cases

Goel A

STUDY DESIGN: Four patients had C2-3 vertebral fusion and radiologically demonstrated cord compression at C3-4 level related to disc bulge with or without association of osteophytes and C1-2 posterior facetal...
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Irreducible Atlanto-Axial Dislocation in Neglected Odontoid Fracture Treated with Single Stage Anterior Release and Posterior Instrumented Fusion

Aggarwal R, Rathod AK, Chaudhary

It is a well-know fact that type 2 odontoid fractures frequently go into nonunion. If left untreated, patients may develop irreducible atlantoaxial dislocation (AAD). We describe the surgical management of...
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Tuberculosis of the Craniovertebral Junction with Basilar Impression: A Case Report

Hong JM, Lee SG, Park CW, Yoo CJ, Kim WK

  • KMID: 2288427
  • Korean J Spine.
  • 2010 Jun;7(2):103-106.
We report a rare case of tuberculosis as a cause of secondary basilar impression. A 35-year-old man was admitted to our hospital complaining of severe neck pain and motor weakness...
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Craniovertebral Junction Tuberculosis with Atlantoaxial Dislocation: A Case Report and Review of the Literature

Lee DK, Cho KT, Im SH, Hong SK

Craniovertebral junction (CVJ) tuberculosis is a rare disease, potentially causing severe instability and neurological deficits. The authors present a case of CVJ tuberculosis with atlantoaxial dislocation and retropharyngeal abscess in...
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Post-traumatic Atlantoaxial Rotatory Dislocation in an Adult Treated by Open Reduction and C1-C2 Transpedicular Screw Fixation

Kim YS, Lee JK, Kim JH, Kim SH

Atlantoaxial rotatory dislocation (AARD) is an uncommon disorder of childhood in which clinical diagnosis is generally difficult and often made late. It is very rare in adults because of the...
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Distractive Atlantoaixial Dislocation

Park HJ, Oh JR, Lee PE

Atlantoaxial dislocations usually present with fatal brain injury, but rarely with clinical problems. With the development of newer imaging techniques, as well as improved preoperative and perioperative care, the likelihood...
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Atlantoaxial Dislocation in Down Syndrome Treated by Occipitocervical Fusion Using Threaded Steinmann Pin: A Case Report

Jung HS, Kim KU, Hwang KG, Kim KH, Sin HC, Choi HJ, Kim HD

  • KMID: 1955548
  • J Korean Neurosurg Soc.
  • 1998 Aug;27(8):1117-1121.
Atlantoaxial dislocation is common in patients with Down syndrome, and an increased incidence was first noted by Tishler and Martel in 1965. Laxity of the transverse atlantal ligament is thought...
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Transoral Anterior Decompression and Posterior Fusion of Irreducible Atlantoaxial Dislocation with Spinal Cord Injury: Case Report

Ki YS, Lee SG, Han GS, Chung HY, Kim YB, Park CW, Lee U

  • KMID: 2188182
  • J Korean Neurosurg Soc.
  • 1998 May;27(5):689-694.
We report a case of irreducible atlantaxial dislocation with spinal cord injury. The patient was a 36-year-old man who suffered from the sudden onset of shallow respiration and severe motor...
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Transoral Approach for the Lesion of Cranio-vertebral Junction and Atlantoaxial Dislocation

Cho KH, Cho KG, Jung N

  • KMID: 2018977
  • J Korean Neurosurg Soc.
  • 1996 Nov;25(11):2317-2325.
Although the operation for the ventral lesion of craniovrtebral junction and atlantoaxial area is considered difficult to perform, the transoral approach made it safer and easier. The authors report 10...
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Clinical Effect of Surgical Decompression and Stabilization on Spinal Cord Dysfunction in Atlantoaxial Dislocation

Kim HJ

  • KMID: 2044427
  • J Korean Neurosurg Soc.
  • 1994 Nov;23(11):1310-1315.
The author analysed clinical effect of surgical decompression and stabilization on spinal cord dysfunction in 20 cases of atlantoaxial dislocation. Of 20 cases, 10 cases were related with trauma(either recent...
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A Case of Pediatric Odontoid Base Fracture Treated by Halovest Fixation

Jun BY, Kim YS, Choi JU

  • KMID: 2339561
  • J Korean Neurosurg Soc.
  • 1988 Oct;17(5):1161-1164.
The authors presented a case of fracture and dislocation at odontoid base in 3 year old patient. This fracture and dislocation was successfully treated by the Gardner's tong traction followed...
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