Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
The posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Coluna (SBC)
2014-03-01
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| Series: | Coluna/Columna |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069&lng=en&tlng=en |
| _version_ | 1818556652876464128 |
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| author | Andrei Fernandes Joaquim Enrico Ghizoni João Paulo Almeida Diogo Valli Anderle Helder Tedeschi |
| author_facet | Andrei Fernandes Joaquim Enrico Ghizoni João Paulo Almeida Diogo Valli Anderle Helder Tedeschi |
| author_sort | Andrei Fernandes Joaquim |
| collection | DOAJ |
| description | The posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression. |
| first_indexed | 2024-12-13T23:50:01Z |
| format | Article |
| id | doaj.art-5da86a4efee845e1aa4b0aa5b2f9fcc5 |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-13T23:50:01Z |
| publishDate | 2014-03-01 |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-5da86a4efee845e1aa4b0aa5b2f9fcc52022-12-21T23:26:48ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2014-03-01131697010.1590/S1808-18512014130100292S1808-18512014000100069Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?Andrei Fernandes JoaquimEnrico GhizoniJoão Paulo AlmeidaDiogo Valli AnderleHelder TedeschiThe posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069&lng=en&tlng=enPlatisbasiaCraniectomía descompresivaFosa craneal posteriorResultado del tratamiento |
| spellingShingle | Andrei Fernandes Joaquim Enrico Ghizoni João Paulo Almeida Diogo Valli Anderle Helder Tedeschi Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation? Coluna/Columna Platisbasia Craniectomía descompresiva Fosa craneal posterior Resultado del tratamiento |
| title | Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation? |
| title_full | Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation? |
| title_fullStr | Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation? |
| title_full_unstemmed | Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation? |
| title_short | Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation? |
| title_sort | basilar invagination secondary to hypoplasia of the clivus is there indication for craniocervical fixation |
| topic | Platisbasia Craniectomía descompresiva Fosa craneal posterior Resultado del tratamiento |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069&lng=en&tlng=en |
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