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Basilar Invagination: Surgical Treatment by Novel Anterior Implant
INTRODUCTION: Anterior retropharyngeal realignment, distraction, and atlantoaxial fixation are an option for the treatment of symptomatic basilar invagination (BI). The anterior implants for distraction and fixation for atlantoaxial joints are still evolving. We share our experience using a novel im...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009472/ https://www.ncbi.nlm.nih.gov/pubmed/35437498 http://dx.doi.org/10.13107/jocr.2021.v11.i06.2248 |
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author | Patkar, Sushil V Patkar, Pradnya |
author_facet | Patkar, Sushil V Patkar, Pradnya |
author_sort | Patkar, Sushil V |
collection | PubMed |
description | INTRODUCTION: Anterior retropharyngeal realignment, distraction, and atlantoaxial fixation are an option for the treatment of symptomatic basilar invagination (BI). The anterior implants for distraction and fixation for atlantoaxial joints are still evolving. We share our experience using a novel implant which can easily, safely, and rigidly fix both lateral masses to the body of the axis. METHODS: After exposing both the atlantoaxial joints anteriorly, the joints were prepared, distracted with wedge shaped autologous tricorticate bone grafts and realigned to correct the cervicomedullary strain. The atlantoaxial joints were fixed using a novel titanium plate by passing screws upwards and laterally into the lateral masses of the atlas and centrally into the body of the axis. Post-operative imaging showed effective correction of BI and atlantoaxial dislocation. Post-operative dynamic X-ray images confirmed maintenance of rigid fixation at 6 months. CONCLUSION: This new plate screw construct is safe, easy, cost-efficient, and biomechanically appealing option for the treatment of symptomatic BI. |
format | Online Article Text |
id | pubmed-9009472 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-90094722022-04-17 Basilar Invagination: Surgical Treatment by Novel Anterior Implant Patkar, Sushil V Patkar, Pradnya J Orthop Case Rep Surgical Technique INTRODUCTION: Anterior retropharyngeal realignment, distraction, and atlantoaxial fixation are an option for the treatment of symptomatic basilar invagination (BI). The anterior implants for distraction and fixation for atlantoaxial joints are still evolving. We share our experience using a novel implant which can easily, safely, and rigidly fix both lateral masses to the body of the axis. METHODS: After exposing both the atlantoaxial joints anteriorly, the joints were prepared, distracted with wedge shaped autologous tricorticate bone grafts and realigned to correct the cervicomedullary strain. The atlantoaxial joints were fixed using a novel titanium plate by passing screws upwards and laterally into the lateral masses of the atlas and centrally into the body of the axis. Post-operative imaging showed effective correction of BI and atlantoaxial dislocation. Post-operative dynamic X-ray images confirmed maintenance of rigid fixation at 6 months. CONCLUSION: This new plate screw construct is safe, easy, cost-efficient, and biomechanically appealing option for the treatment of symptomatic BI. Indian Orthopaedic Research Group 2021-06 /pmc/articles/PMC9009472/ /pubmed/35437498 http://dx.doi.org/10.13107/jocr.2021.v11.i06.2248 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Surgical Technique Patkar, Sushil V Patkar, Pradnya Basilar Invagination: Surgical Treatment by Novel Anterior Implant |
title | Basilar Invagination: Surgical Treatment by Novel Anterior Implant |
title_full | Basilar Invagination: Surgical Treatment by Novel Anterior Implant |
title_fullStr | Basilar Invagination: Surgical Treatment by Novel Anterior Implant |
title_full_unstemmed | Basilar Invagination: Surgical Treatment by Novel Anterior Implant |
title_short | Basilar Invagination: Surgical Treatment by Novel Anterior Implant |
title_sort | basilar invagination: surgical treatment by novel anterior implant |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009472/ https://www.ncbi.nlm.nih.gov/pubmed/35437498 http://dx.doi.org/10.13107/jocr.2021.v11.i06.2248 |
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