Limits of the transoral approach in craniospinal malformations.
Over a 15-year period, 15 patients with craniospinal malformations were operated on using the transoral route. Ten patients had basilar impression and five had atlantoaxial dislocation; nine patients had associated lesions. Patients treated with reposition and dorsal fusion recovered well without ventral decompression. We found that transoral odontoidectomy is suitable as a primary decompressing measure only in ventral compression or nondislocated atlantoaxial conditions.
Laborde
G
G
Gilsbach
J
J
Bertalanffy
H
H
Harders
A
A
Hardenack
M
M