Endoscopic endonasal odontoidectomy with C1 anterior arch preservation for spinal-cord compression in the elderly

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY Journal of Clinical Neuroscience Pub Date : 2024-11-22 DOI:10.1016/j.jocn.2024.110933
Raffaele De Marco , Federica Penner , Maria Chiara Canitano , Giuseppe Riva , Diego Garbossa , Francesco Zenga
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Abstract

The endoscopic endonasal corridor for odontoidectomy (EEO) is a valuable route in expert’s hand to manage craniovertebral junction (CVJ) pathologies of the midline. The possibility to preserve part of the C1 anterior arch along to an adequate preoperative planning, makes this option a viable choice especially in elderly patients with multiple comorbidities who cannot sustain a second procedure closed in time. Indeed, the current case shows the results of EEO in the presence of ventral compression due to degenerative non-rheumatoid retro-odontoid pannus in an 80-year-old male. Due to the absence of instability preoperatively and the C1 anterior arch preservation, no posterior instrumentation was planned nor was necessary at follow-up.
A step-by-step description of the technique is showed.
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保留 C1 前弓的内窥镜椎骨切除术治疗老年人脊髓压迫症。
内窥镜鼻内走廊蝶骨切除术(EEO)是专家处理中线颅椎体交界处(CVJ)病变的重要途径。由于可以保留部分 C1 前弓,再加上充分的术前规划,这种方法成为一种可行的选择,尤其是对于患有多种并发症、无法及时进行第二次手术的老年患者。事实上,本病例显示了在一名80岁男性患者因退行性非风湿性骨膜后骨膜囊肿导致腹侧压迫的情况下采用EEO的效果。由于术前没有不稳定性,且保留了C1前弓,因此没有计划进行后部器械植入,随访时也没有必要进行后部器械植入。本文对该技术进行了逐步描述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Neuroscience
Journal of Clinical Neuroscience 医学-临床神经学
CiteScore
4.50
自引率
0.00%
发文量
402
审稿时长
40 days
期刊介绍: This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology. The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.
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