PDF herunterladen
CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 184-189
DOI: 10.1055/s-0038-1649333
Original Article
Neurological Surgeons' Society of India

C1C2 Distraction and Compression Technique for Craniovertebral Junction Anomalies with Basilar Invagination and Irreducible Atlantoaxial Dislocation

Vamsi Krishna Yerramneni
1   Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
,
Vamshi Krishna Kotha
1   Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
,
Ramanadha Reddy
1   Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received: 13. Februar 2018

accepted: 23. März 2018

Publikationsdatum:
14. Mai 2018 (online)

   Lizenzen und Reprints

Abstract

The authors describe four cases of basilar invagination (BI) with irreducible atlantoaxial dislocation (AAD) by distraction and compression technique. The article describes the technique in detail and the principles of the reduction achieved in all the planes by C1C2 screw placement, the cage insertion in the C1C2 joint, and manipulation of the joint. They described in the literature well-discussed various modifications and their application for treatment of BI with irreducible AAD.

Keywords

basilar invagination - craniovertebral junction anomaly - irreducible atlantoaxial dislocation
 

  • References

  • 1 Menezes AH. Craniovertebral junction anomalies: diagnosis and management. Semin Pediatr Neurol 1997; 4 (03) 209-223
    CrossrefPubMedGoogle Scholar
  • 2 Goel A, Bhatjiwale M, Desai K. Basilar invagination: a study based on 190 surgically treated patients. J Neurosurg 1998; 88 (06) 962-968
    CrossrefPubMedGoogle Scholar
  • 3 Goel A, Laheri V. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 1994; 129 (01) (02) 47-53
    CrossrefPubMedGoogle Scholar
  • 4 Goel A, Desai KI, Muzumdar DP. Atlantoaxial fixation using plate and screw method: a report of 160 treated patients. Neurosurgery 2002; 51 (06) 1351-1356 discussion 1356–1357
    CrossrefPubMedGoogle Scholar
  • 5 Chandra PS, Kumar A, Chauhan A, Ansari A, Mishra NK, Sharma BS. Distraction, compression, and extension reduction of basilar invagination and atlantoaxial dislocation: a novel pilot technique. Neurosurgery 2013; 72 (06) 1040-1053 discussion 1053
    CrossrefPubMedGoogle Scholar
  • 6 Chandra PS, Prabhu M, Goyal N, Garg A, Chauhan A, Sharma BS. Distraction, compression, extension, and reduction combined with joint remodeling and extra-articular distraction: description of 2 new modifications for its application in basilar invagination and atlantoaxial dislocation: prospective study in 79 cases. Neurosurgery 2015; 77 (01) 67-80 discussion 80
    CrossrefPubMedGoogle Scholar
  • 7 Nurick S. The pathogenesis of the spinal cord disorder associated with cervical spondylosis. Brain 1972; 95 (01) 87-100
    CrossrefPubMedGoogle Scholar
  • 8 Smith JS, Shaffrey CI, Abel MF, Menezes AH. Basilar invagination. Neurosurgery 2010; 66 (03) Suppl 39-47
    CrossrefPubMedGoogle Scholar
  • 9 Teodori JB, Painter MJ. Basilar impression in children. Pediatrics 1984; 74 (06) 1097-1099
    PubMedGoogle Scholar
  • 10 Wadia NH. Myelopathy complicating congenital atlanto-axial dislocation. (A study of 28 cases.). Brain 1967; 90 (02) 449-472
    CrossrefPubMedGoogle Scholar
  • 11 Goel A, Kulkarni AG, Sharma P. Reduction of fixed atlantoaxial dislocation in 24 cases: technical note. J Neurosurg Spine 2005; 2 (04) 505-509
    CrossrefPubMedGoogle Scholar
  • 12 Goel A. Treatment of basilar invagination by atlantoaxial joint distraction and direct lateral mass fixation. J Neurosurg Spine 2004; 1 (03) 281-286
    CrossrefPubMedGoogle Scholar
  • 13 Salunke P, Sharma M, Sodhi HB, Mukherjee KK, Khandelwal NK. Congenital atlantoaxial dislocation: a dynamic process and role of facets in irreducibility. J Neurosurg Spine 2011; 15 (06) 678-685
    CrossrefPubMedGoogle Scholar
  • 14 Jian FZ, Chen Z, Wrede KH, Samii M, Ling F. Direct posterior reduction and fixation for the treatment of basilar invagination with atlantoaxial dislocation. Neurosurgery 2010; 66 (04) 678-687 discussion 687
    CrossrefPubMedGoogle Scholar
  • 15 Suh BG, Padua MR, Riew KD. et al. A new technique for reduction of atlantoaxial subluxation using a simple tool during posterior segmental screw fixation: clinical article. J Neuro-surg Spine 2013; 19 (02) 160-166
    CrossrefPubMedGoogle Scholar
  • 16 Yin YH, Qiao GY, Yu XG, Tong HY, Zhang YZ. Posterior realignment of irreducible atlantoaxial dislocation with C1-C2 screw and rod system: a technique of direct reduction and fixation. Spine J 2013; 13 (12) 1864-1871
    CrossrefPubMedGoogle Scholar
  • 17 Chandra PS. In reply. Neurosurgery 2014; 74 (01) E148-E150
    CrossrefPubMedGoogle Scholar
  • 18 Deepak AN, Salunke P, Sahoo SK, Prasad PK, Khandelwal NK. Revisiting the differences between irreducible and reducible atlantoaxial dislocation in the era of direct posterior approach and C1-2 joint manipulation. J Neurosurg Spine 2017; 26 (03) 331-340
    CrossrefPubMedGoogle Scholar
  • 19 Salunke P, Sahoo S, Khandelwal NK, Ghuman MS. Technique for direct posterior reduction in irreducible atlantoaxial dislocation: multi-planar realignment of C1-2. Clin Neurol Neurosurg 2015; 131: 47-53
    CrossrefPubMedGoogle Scholar