World neurosurgery · 2024
Stress Maneuver for Basilar Invagination Reduction: A Technical Report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Domingos Silva E Reis Marco Túlio, Dantas François, Teodoro Lacerda Weverson José, Rivelli da Fonseca Vinícios, Coelho Barroso Pedro Moreira, Reis de Oliveira Gustavo Henrique, Rolemberg Dantas Fernando Luiz
Аннотация
BACKGROUND: Basilar invagination (BI) is a prolapse of the odontoid process cranially and posteriorly towards the foramen magnum. Several surgical treatment options are available for this condition. Herein, we describe a stress maneuver technique for BI reduction using a single-stage posterior approach.
METHODS: We described the case of a 56-year-old male diagnosed with type A BI and brainstem compression, who was treated with posterior fossa decompression and occipitocervical fusion. The BI was reduced intraoperatively using a stress maneuver, and cranial traction or atlantoaxial joint distraction was not necessary.
RESULTS: Postoperative imaging revealed a reduction of the odontoid process and adequate brainstem decompression. The patient showed progressive improvement of his symptoms.
CONCLUSIONS: In selected cases, stress maneuvers for BI reduction can be a less morbid, easier, and replicable option within the already existing technical arsenal.
METHODS: We described the case of a 56-year-old male diagnosed with type A BI and brainstem compression, who was treated with posterior fossa decompression and occipitocervical fusion. The BI was reduced intraoperatively using a stress maneuver, and cranial traction or atlantoaxial joint distraction was not necessary.
RESULTS: Postoperative imaging revealed a reduction of the odontoid process and adequate brainstem decompression. The patient showed progressive improvement of his symptoms.
CONCLUSIONS: In selected cases, stress maneuvers for BI reduction can be a less morbid, easier, and replicable option within the already existing technical arsenal.