scholarly journals Klippel–Feil Syndrome (KFS) with Multiple Cervical Anomalies Discovered Following Trauma

2020 ◽  
Author(s):  
Fernando Celi ◽  
Giancarlo Saal-Zapata
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Vascular Malformations ◽  
Upper Cervical Spine ◽  
Congenital Disease ◽  
Cervical Injury ◽  
Anatomical Variants ◽  
Complex Anatomy ◽  
Upper Cervical ◽  
Type Of Surgery

AbstractThe approach to the upper cervical spine is a challenge for surgeons, not only for its complex anatomy but also for the great variety of pathologies. Klippel–Feil syndrome (KFS) is a congenital disease characterized by the fusion of two or more cervical segments and is associated with various musculoskeletal and vascular malformations. However, there is no consensus on the type of surgery, approach, level of fixation or fusion. We report the case of a KFS, associated with multiple anatomical variants, who suffered a traumatic cervical injury and underwent surgical treatment.

Atlantal fracture with transverse ligament disruption in a child

2009 ◽  
Vol 4 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Marcelo D. Vilela ◽  
Eric C. Peterson
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Upper Cervical Spine ◽  
Transverse Ligament ◽  
Jefferson Fracture ◽  
Fractures In Children ◽  
Upper Cervical ◽  
Almost All ◽  
Ligament Disruption

Even though fractures in children with immature spines occur predominantly in the upper cervical spine, isolated C-1 fractures are relatively rare. The fractures in almost all cases reported to date were considered stable due to the presence of the intact transverse ligament. The authors report the case of a young child who sustained a Jefferson fracture and in whom MR imaging revealed disruption of the transverse ligament. Although surgical treatment has been suggested as the treatment of choice for children with unstable atlantoaxial injuries, external immobilization alone allowed a full recovery in the patient with no evidence of instability at follow-up.

Combined Transoral and Median Labiomandibular Glossotomy Approach to the Upper Cervical Spine

Neurosurgery ◽  
1981 ◽  
Vol 8 (6) ◽  
pp. 672-674 ◽  
Author(s):  
Ehud Arbit ◽  
Russel H. Patterson
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Cervical Spinal Cord ◽  
Transoral Approach ◽  
Direct Approach ◽  
Upper Cervical Spine ◽  
Functional Loss ◽  
Upper Cervical

abstract A surgical approach to the clivus and anterior spine from C-1 to the upper part of C-5 is described. It is a direct approach that provides a wider and longer exposure than does the transoral approach. Despite the seemingly radical incision, the cosmetic deformity and functional loss are minimal. This approach is useful for the surgical treatment of a variety of processes that are situated ventral to the upper cervical spinal cord and the cervicomedullary junction.

scholarly journals Aneurysmal bone cyst of upper cervical spine surgical treatment

2006 ◽  
Vol 0 (1) ◽  
pp. 104-110
Author(s):  
E. I. Slynko ◽  
A. M. Zolotoverkh ◽  
A. I. Ermolyev
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Upper Cervical Spine ◽  
Upper Cervical

Endonasal Surgery of the Upper Cervical Spine: A Morphometric Analysis

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Harminder Singh ◽  
Bartosz Grobelny ◽  
Adam Flanders ◽  
Marc Rosen ◽  
Paul Schiffmacher ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Morphometric Analysis ◽  
Upper Cervical Spine ◽  
Endonasal Surgery ◽  
Upper Cervical

A 3D-Printed Model-Assisted Cervical Spine Instrumentation after Tumor Resection in a 4-Year-Old Child: A Case Report

2021 ◽  
pp. 1-7
Author(s):  
Marko Jug
Keyword(s):  
Cervical Spine ◽  
3D Model ◽  
Intraoperative Complications ◽  
Tumor Resection ◽  
Upper Cervical Spine ◽  
Spine Instrumentation ◽  
Cord Injury ◽  
Spinal Navigation ◽  
Upper Cervical ◽  
3D Printed

<b><i>Introduction:</i></b> In the case of tumor resection in the upper cervical spine, a multilevel laminectomy with instrumented fixation is required to prevent kyphotic deformity and myelopathy. Nevertheless, instrumentation of the cervical spine in children under the age of 8 years is challenging due to anatomical considerations and unavailability of specific instrumentation. <b><i>Case Presentation:</i></b> We present a case of 3D-printed model-assisted cervical spine instrumentation in a 4-year-old child with post-laminectomy kyphotic decompensation of the cervical spine and spinal cord injury 1 year after medulloblastoma metastasis resection in the upper cervical spine. Due to unavailability of specific instrumentation, 3D virtual planning was used to assess and plan posterior cervical fixation. Fixation with 3.5 mm lateral mass and isthmic screws was suggested and the feasibility of fixation was confirmed “in vitro” in a 3D-printed model preoperatively to reduce the possibility of intraoperative implant-spine mismatch. Intraoperative conditions completely resembled the preoperative plan and 3.5 mm polyaxial screws were successfully used as planned. Postoperatively the child made a complete neurological recovery and 2 years after the instrumented fusion is still disease free with no signs of spinal decompensation. <b><i>Discussion/Conclusion:</i></b> Our case shows that posterior cervical fixation with the conventional screw-rod technique in a 4-year-old child is feasible, but we suggest that suitability and positioning of the chosen implants are preoperatively assessed in a printed 3D model. In addition, a printed 3D model offers the possibility to better visualize and sense spinal anatomy “in vivo,” thereby helping screw placement and reducing the chance for intraoperative complications, especially in the absence of intraoperative spinal navigation.

scholarly journals Treatment of the Upper Cervical Spine Injury (experience of eight cases)

1981 ◽  
Vol 30 (1) ◽  
pp. 41-47
Author(s):  
M. Yamanaka ◽  
G. Awaya ◽  
S. Takata ◽  
N. Nishijima ◽  
S. Shimamura
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Upper Cervical Spine Injury

scholarly journals Bartonella henselae osteoarthritis of the upper cervical spine in a 14-year-old boy

2015 ◽  
Vol 101 (4) ◽  
pp. 519-522 ◽  
Author(s):  
G. Mirouse ◽  
A. Journe ◽  
L. Casabianca ◽  
P.E. Moreau ◽  
S. Pannier ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Bartonella Henselae ◽  
Upper Cervical Spine ◽  
Upper Cervical
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