Defining the Nasopalatine Line: Anatomic Limitations for Endoscopic Endonasal Surgery of the Odontoid Process and Upper Cervical Spine

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
John de Almeida ◽  
Adam Zanation ◽  
Ricardo Carrau ◽  
Amin Kassam ◽  
Carl Snyderman
Keyword(s):  
Cervical Spine ◽  
Odontoid Process ◽  
Upper Cervical Spine ◽  
Endoscopic Endonasal Surgery ◽  
Endonasal Surgery ◽  
Endoscopic Endonasal ◽  
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

scholarly journals Odontoid process fracture in 2 year old child: a rare case report

2017 ◽  
Vol 31 (4) ◽  
pp. 522-525
Author(s):  
Prajapati Hanuman Prasad ◽  
Singh Deepak Kumar ◽  
Singh Rakesh Kumar ◽  
Yadav Kuldeep
Keyword(s):  
Cervical Spine ◽  
Odontoid Process ◽  
The Body ◽  
Upper Cervical Spine ◽  
Age Group ◽  
Spine Injuries ◽  
Rare Case Report ◽  
Upper Cervical ◽  
Cervical Spine Fractures ◽  
Odontoid Process Fracture

Abstract In small childrens spine injuries are rare. In this age group upper cervical spine is commonally affected. Odontoid process fracture involve only a subset of cervical spine fractures. In small childrens, this fracture typically involves the cartilaginousplate that separates the odontoid process from the body of the axis. Odontoid processfracture is rare in children less than 7 years of age.

Microscopic Decompression of the Anterior Upper Cervical Spine: A Case of Odontoid Malunion to the Atlas

Neurosurgery ◽  
1984 ◽  
Vol 14 (5) ◽  
pp. 583-587 ◽  
Author(s):  
Jimmy Miller ◽  
Andrew D. Parent
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Odontoid Process ◽  
Transoral Approach ◽  
Upper Cervical Spine ◽  
Basilar Impression ◽  
Odontoid Fractures ◽  
Surgical Microscope ◽  
The Past ◽  
Upper Cervical

Abstract For the past 20 years, the transoral approach to the upper cervical spine has been utilized for odontoid fractures, the removal of an abnormal odontoid process, decompression of basilar impression, and biopsy or resection of nasopharyngeal or metastatic tumors. The effectiveness and safety of this procedure is well documented. Use of the surgical microscope adds to the efficiency and safety of the procedure. We are reporting a case of fusion of the odontoid base to the anterior arch of the atlas. To our knowledge, this entity has not been described previously. The spinal cord was protected by an initial posterior fusion of C-1, C-2, followed in 10 days by a tracheostomy and the transoral removal of the anterior C-1 arch and the abnormal dens. Because the medical history did not reveal a source of trauma, it is supposed that the patient had malunion of the odontoid process to C-2, with subsequent migration and fusion of the dens to the C-1 arch.

scholarly journals UPPER CERVICAL SPINE INJURIES: DIAGNOSTICS, CLASSIFICATIONS AND TREATMENT PECULIARITIES

2005 ◽  
pp. 025-044
Author(s):  
Edvard Aleksandrovich Ramikh
Keyword(s):  
Cervical Spine ◽  
Odontoid Process ◽  
Upper Cervical Spine ◽  
Treatment Technique ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Upper Cervical ◽  
Methods Of Treatment ◽  
Traumatic Spondylolisthesis ◽  
Selection Of

Comprehensive diagnostics, accepted classifications, and selection of pathogenetic methods of treatment (including surgery) for axis injuries, odontoid process fractures, axis traumatic spondylolisthesis and hangman’s fractures are discussed in the paper. The presented data prove the necessity and possibility of early exhaustive diagnosing to differentiate the type of a craniocervical disorder and to provide a timely choice of pathogenetic treatment technique, especially of a surgical one.

scholarly journals Biomechanics of upper cervical spine and peculiarities of treatment of patients with odontoid process fractures

1996 ◽  
Vol 3 (1) ◽  
pp. 18-21
Author(s):  
V. A. Moiseenko
Keyword(s):  
Cervical Spine ◽  
Conservative Treatment ◽  
Odontoid Process ◽  
Upper Cervical Spine ◽  
Traction Method ◽  
Cervical Muscles ◽  
Halo Traction ◽  
Upper Cervical ◽  
Extension Fracture

In transdental injuries of atlantoaxial region the indications for conservative treatment and authors bipolar Halo-traction method were worked out on the base of spine biomechanical peculiarities (anterior shifting moment and extensor conditionality of the posterior cervical muscles) as well as depending on the mechanism of the development of plane fracture of C2 odontoid process. In flexion fracture of the odontoid process without dislocation as well as in extension fracture with dislocation within the limits of 1/3 of its diameter the successful conservative treatment with plaster thoracocranial bandage was possible. In the rest of cases the authors method of bipolar Halo-traction was indicated. The experience of treatment of 32 patients was used in the work.

scholarly journals DIAGNOSTICS AND TREATMENT FOR UPPER CERVICAL SPINE INJURIES

2005 ◽  
pp. 016-020
Author(s):  
Stepan Timofeyevich Vetrile ◽  
Sergey Vasilyevich Kolesov
Keyword(s):  
Cervical Spine ◽  
Odontoid Process ◽  
Upper Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Upper Cervical

The experience of diagnostics and treatment of 82 patients with various injuries of the upper cervical spine was analyzed. The most frequent injuries were fractures of C2 odontoid process and arch. The treatment included a wide application of halo apparatus, and, when indicated, a surgical instrumention stabilization of the upper cervical spine.

Transoral Approaches to the Cervical Spine

Neurosurgery ◽  
2010 ◽  
Vol 66 (suppl_3) ◽  
pp. A119-A125 ◽  
Author(s):  
Wesley Hsu ◽  
Jean-Paul Wolinsky ◽  
Ziya L. Gokaslan ◽  
Daniel M. Sciubba
Keyword(s):  
Cervical Spine ◽  
Gold Standard ◽  
Cranial Base ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Endoscopic Endonasal ◽  
Technical Aspects ◽  
Surgical Access ◽  
Upper Cervical ◽  
Important Approach

Abstract A NUMBER OF anterior approaches to the craniocervical junction have been described to allow exposure to the midline and lateral aspects of both the cranial base and upper cervical spine. The transoral-transpharyngeal approach, a technique that is well known to many spine surgeons, provides surgical access to the anterior clivus, C1, and C2. Transoral approaches provide the fundamental anatomy and technique upon which the more complex jaw-splitting approaches are based. This article discusses fundamental concepts regarding anatomy, perioperative considerations, and technical aspects critical to this important approach to the craniocervical junction. The transoral-transpharyngeal approach remains the “gold standard” for anterior approaches to the cervical spine. Endoscopic endonasal and endoscopic transcervical approaches are promising alternatives that may become more mainstream as experience with these approaches increases.

scholarly journals Atlantoaxial Subluxation after Pyogenic Spondylitis around the Odontoid Process

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Atsushi Hasegawa ◽  
Mitsuru Yagi ◽  
Masakazu Takemitsu ◽  
Masafumi Machida ◽  
Takashi Asazuma ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Conservative Treatment ◽  
Odontoid Process ◽  
Magnetic Resonance Images ◽  
Atlantoaxial Subluxation ◽  
Upper Cervical Spine ◽  
Protein Levels ◽  
Pyogenic Spondylitis ◽  
Intravenous Antibiotics ◽  
Upper Cervical

Study Design. A case report and review of the literature.Objective. The aim of this study was to describe the conservative management of pyogenic spondylitis around the odontoid process.Summary of Background Data. Atlantoaxial subluxation after pyogenic spondylitis is rare. The therapeutic approach to infection of the upper cervical spine is controversial.Methods. Medical chart and radiological images of a 76-year-old male patient were retrospectively reviewed. Radiography revealed atlantoaxial subluxation, and an abscess was seen around the odontoid process on magnetic resonance images. Intravenous antibiotics and a halo vest were used to treat the patient. We then observed the patient’s conservative treatment course.Results. C-reactive protein levels returned to normal 4 weeks after administration of the intravenous antibiotics. The patient’s muscle weakness also completely recovered 8 weeks after administration of the intravenous antibiotics. Because the patient was able to walk without any support, surgical treatment was not necessary.Conclusions. Pyogenic spondylitis of the upper cervical spine is a rare manifestation. Surgical or conservative treatment must be selected carefully based on the patient’s symptoms. If early diagnosis and treatment can be provided to the patients, conservative treatment can be achieved.

Sign in / Sign up

Export Citation Format

Share Document