지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2023.6
- 수록면
- 498 - 506 (9page)
- DOI
- 10.14245/ns.2244910.455
이용수
초록· 키워드
오류제보하기
Objective: The surgical management of basilar invagination without atlantoaxial dislocation (type B basilar invagination) remains controversial. Hence, we have reported the use of posterior intra-articular C1–2 facet distraction, fixation, and cantilever technique versus foramen magnum decompression in treating type B basilar invagination as well as the re sults and surgical indications for this procedure.
Methods: This was a single-center retrospective cohort study. Fifty-four patients who un derwent intra-articular distraction, fixation, and cantilever reduction (experimental group) and foramen magnum decompression (control group) were enrolled in this study. Distance from odontoid tip to Chamberlain’s line, clivus-canal angle, cervicomedullary angle, crani overtebral junction (CVJ) triangle area, width of subarachnoid space and syrinx were used for radiographic assessment. Japanese Orthopedic Association (JOA) scores and 12-item Short Form health survey (SF-12) scores were used for clinical assessment.
Results: All patients in the experimental group had a better reduction of basilar invagina tion and better relief of pressure on nerves. JOA scores and SF-12 scores also had better im provements in the experimental group postoperation. SF-12 score improvement was associ ated with preoperative CVJ triangle area (Pearson index, 0.515; p = 0.004), cutoff value of 2.00 cm2 indicating the surgical indication of our technique. No severe complications or in fections occurred.
Conclusion: Posterior intra-articular C1–2 facet distraction, fixation, and cantilever reduc tion technique is an effective treatment for type B basilar invagination. As various factors involved, other treatment strategies should also be investigated.
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