Related Experiment Video
Updated: Jul 9, 2025
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
446
Functional and radiological outcomes following craniovertebral junction surgery
Tushar N Rathod1, Sachin Mohana Khemkar1, Tapas Mohanty1
1Department of Orthopaedics, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
Surgical Neurology International
|December 6, 2023
Summary
Surgical management of craniovertebral junction (CVJ) anomalies effectively addresses atlantoaxial instability and cord compression, leading to improved patient outcomes. Meticulous planning is crucial to minimize surgical complications.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Craniovertebral junction (CVJ) pathologies, including atlantoaxial instability, can cause severe neurological deficits like myelopathy and respiratory failure.
- These anomalies necessitate a thorough understanding of surgical indications, preoperative planning, and potential complications.
Purpose of the Study:
- To describe the indications, preoperative planning, and intraoperative/postoperative complications associated with surgical management of CVJ anomalies.
- To evaluate the clinical and radiological outcomes of patients undergoing surgery for CVJ pathologies.
Main Methods:
- A prospective analysis of 34 patients with CVJ pathology between 2015 and 2022.
- Etiologies included atlantoaxial instability, trauma, tuberculosis, and various syndromes.
- Clinical outcomes assessed via ASIA impairment scale and mJOA score; radiological parameters included ADI, CCA, and SAC.
Main Results:
- Twenty-nine patients underwent surgery, including occipitocervical and C1-2 fusions.
- Surgical intervention significantly improved atlantoaxial instability (mean ADI from 6.6 to 4.2 mm) and relieved cord compression (mean SAC from 8.3 to 17.2 mm).
- Statistically significant improvements were observed in ASIA and mJOA scores, alongside favorable changes in CCA.
Conclusions:
- Surgical management of CVJ abnormalities requires specialized expertise and meticulous planning.
- Careful surgical execution is essential to prevent severe complications such as wound dehiscence and vertebral artery injury.
Related Concept Videos
01:14Cranial Bones: Superior and Posterior View
2.3K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
2.3K
01:19Cranial and Spinal Meninges
1.5K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
1.5K
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
126
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
126
01:22Sutures of the Skull
6.8K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
6.8K