Surgical treatment of Craniovertebral Instability
Ahmed Adel Abdelsalam Wafa;
Abstract
he treatment of patients with atlantoaxial instability is a surgical challenge and achieving a successful outcome for these patients is gratifying.
Craniovertebral junction abnormalities can be developmental, genetic, or acquired in origin. To effectively treat these disorders when they are symptomatic, the clinician must have knowledge of the embryology and the functional anatomy of the area.
Myelopathy is the most common neurologic deficit recorded. The initial symptoms, such as lack of physical endurance, may be subtle, particularly in younger patients. The severity of myelopathy is variable and can manifest as different degrees of weakness in the upper or lower extremities.
The use of different diagnostic modalities is mandatory starting with plain X-rays and going further through the use of C.T scan and M.R.I.
The complications of surgery, however, are potentially lethal. Various methods of fixation have been described and used successfully in the treatment of patients with atlantoaxial instability. The techniques of craniovertebral fixation evolved during the 20th century as the anatomy and biomechanics of the craniovertebral region became clearer
Craniovertebral junction abnormalities can be developmental, genetic, or acquired in origin. To effectively treat these disorders when they are symptomatic, the clinician must have knowledge of the embryology and the functional anatomy of the area.
Myelopathy is the most common neurologic deficit recorded. The initial symptoms, such as lack of physical endurance, may be subtle, particularly in younger patients. The severity of myelopathy is variable and can manifest as different degrees of weakness in the upper or lower extremities.
The use of different diagnostic modalities is mandatory starting with plain X-rays and going further through the use of C.T scan and M.R.I.
The complications of surgery, however, are potentially lethal. Various methods of fixation have been described and used successfully in the treatment of patients with atlantoaxial instability. The techniques of craniovertebral fixation evolved during the 20th century as the anatomy and biomechanics of the craniovertebral region became clearer
Other data
| Title | Surgical treatment of Craniovertebral Instability | Other Titles | العلاج الجراحـــى لخلخلـــة الوصلـــة الجمجميـــة العنقيــــة | Authors | Ahmed Adel Abdelsalam Wafa | Issue Date | 2017 |
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