Related Experiment Videos
[The case of severe craniocervical dislocation due to rheumatoid arthritis]
A Radek1, K Zapałowicz, A Maciejczak
1Kliniki Neurochirurgii Wojskowej Akademii Medycznej w Lodzi.
Unlabelled:
The authors describe a case of craniocervical dislocation secondary to rheumatoid arthritis producing important canal narrowing: ventrally by migrated odontoid and dorsally by posterior arch of C-1 with medullary compression. Symptoms of hyperreflexia, spasticity and left hemiparesis with Babinski sign were present.
Surgical Procedure:
transoral odontoidectomy was performed followed by suboccipital approach, C-1 laminectomy and occipitocervical fixation (Olerud device and bone graft). Outcome with neurologic improvement.
Conclusions:
Transoral odontoidectomy combined with occipitocervical decompression and fixation is effective approach for treatment of severe craniocerebral dislocation. Its advantages: ventral and dorsal decompression combined with immediate stabilisation.