The operation of arthrodesis for malformations of the occipito-atloid joint, according to Gilles Bertrand.
Malformations of the occipito-vertebral hinge destabilize the bones and injure the neural structures of the bulbo-spinal junction and of the cervico-spinal cord. The Authors have found the Gilles Bertrand intra-articular C/1-C/2 bilateral arthrodesis to be an extremely efficient surgical procedure for stabilizing the occipito-atlo-axial region, producing a relative lowering of the odontoid and relieving pressure in the occipito-atloid region. Excellent post-operative results derive from the relatively easy and non-destabilizing operative procedure. No deaths have been recorded in connection with this operation. This contrasts with the traditional occipito-atloid pressure-relieving procedure (either with or without opening of the dura mater), a procedure which, in addition to not stabilizing the upper cervical spine, sometimes results in the patient's death.
Tedeschi
G
G
Chair of Neurotraumatology, II Faculty of Medicine, University of Naples, Italy.
Lapras
C
C
Vizioli
L
L
Villano
M
M
Mottolese
C
C
Meglio
G
G
Bucciero
A
A
Gambardella
A
A
Rossi
F
F
Castellano
A E
AE
D000293:Adolescent; D000328:Adult; D001269:Atlanto-Occipital Joint / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D013123:Spinal Fusion / Q000379:methods*