[Problems in the selection of surgical approach for the treatment of non-traumatic deformities of the craniocervical junction].
Developmental abnormalities or inflammatory disorders provoke deformations and instability of the craniocervical junction. The most dangerous results of these lesions are: sudden brainstem compression or cervical myelopathy. The authors propose the guidelines for surgical management of non-traumatic deformities caused by: a) rheumatoid arthritis of the spine, b) congenital anatomic changes of the occipit and odontoid. Main goals of surgical treatment are decompression and stabilization. The choice of surgical approach and method depends on pathology. It is very important to estimate individual anatomic changes and mobility--possibility of reduction. The authors discuss surgical methods actually used for fusion and decompression of the occipitocervical junction.
Radek
Andrzej
A
Kliniki Neurochirurgii WAM w Łodzi.
Zapałowicz
Krzysztof
K
Maciejczak
Andrzej
A
Karbownik
Józef
J
Grochal
Marek
M
Radek
Maciej
M
Błaszczyk
Bogdan
B
Skiba
Piotr
P
D001172:Arthritis, Rheumatoid / Q000150:complications; D003657:Decision Making; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D009187:Myelitis / Q000209:etiology / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D009777:Occipital Bone / Q000002:abnormalities / Q000601:surgery*; D009809:Odontoid Process / Q000002:abnormalities / Q000601:surgery*; D017410:Practice Guidelines as Topic; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery*
Problemy zwiazane z wyborem dojścia operacyjnego w leczeniu nieurazowych przemieszczeń pogranicza czaszkowo-kregosłupowego.