title: [Problems in the selection of surgical approach for the treatment of non-traumatic deformities of the craniocervical junction].
abstract: 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.
authors.affiliation: Kliniki Neurochirurgii WAM w Łodzi.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Radek
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Zapałowicz
authors.forename: Andrzej
authors.initials: A
authors.lastname: Maciejczak
authors.forename: Józef
authors.initials: J
authors.lastname: Karbownik
authors.forename: Marek
authors.initials: M
authors.lastname: Grochal
authors.forename: Maciej
authors.initials: M
authors.lastname: Radek
authors.forename: Bogdan
authors.initials: B
authors.lastname: Błaszczyk
authors.forename: Piotr
authors.initials: P
authors.lastname: Skiba
mesh_terms: 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*
vernacular_title: Problemy zwiazane z wyborem dojścia operacyjnego w leczeniu nieurazowych przemieszczeń pogranicza czaszkowo-kregosłupowego.