Neuronavigation-assisted transoral-transpharyngeal approach for basilar invagination--two case reports.
Two patients presented with congenital basilar invagination manifesting as progressive myelopathy. Both patients underwent surgery using a neuronavigation-assisted transoral-transpharyngeal approach. The Brain-LAB Vector Vision navigation system was used for image guidance. The registration accuracies were 0.9 and 1.3 mm. After decompression, posterior stabilization was performed. Both patients had an uneventful postoperative course. The transoral-transpharyngeal approach with the neuronavigation system provides safe exposure and decompression for basilar invagination.
Ugur
Hasan Caglar
HC
Department of Neurosurgery, Faculty of Medicine, Ankara University, Turkey. hasanugur2001@hotmail.com
Kahilogullari
Gokmen
G
Attar
Ayhan
A
Caglar
Sukru
S
Savas
Ali
A
Egemen
Nihat
N
D000328:Adult; D002574:Cervical Vertebrae / Q000473:pathology / Q000601:surgery; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D038361:Neuronavigation / Q000295:instrumentation*; D009809:Odontoid Process / Q000473:pathology / Q000601:surgery; D010160:Palate, Soft / Q000473:pathology / Q000601:surgery; D010614:Pharynx / Q000473:pathology / Q000601:surgery; D010985:Platybasia / Q000175:diagnosis / Q000601:surgery*; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed