Abstract：
OBJECTIVE:Presentation of clinical cases involving successful anterior stabilization of the C1-C2 segment in patients with invaginated C2 odontoid process and Chiari malformation type I. METHODS:Clinical case description. RESULTS:Two patients with C2 odontoid processes invagination and Chiari malformation type I were surgically treated using the transoral approach. In both cases, anterior decompression of the upper cervical region was performed, followed by anterior stabilization of the C1-C2 segment. In 1 of the cases, this procedure was performed after posterior decompression, which led to transient regression of neurologic symptoms. In both cases, custom-made cervical plates were used for anterior stabilization of the C1-C2 segment. During the follow-up period of more than 2 years, a persistent regression of both the neurologic symptoms and Chiari malformation was observed. CONCLUSIONS:Anterior decompression followed by anterior stabilization of the C1-C2 segment is a novel and promising approach to treating Chiari malformation type I in association with C2 odontoid process invagination.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Shkarubo AN,Kuleshov AA,Chernov IV,Vetrile MSdoi
10.1016/j.wneu.2017.02.113subject
Has Abstractpub_date
2017-06-01 00:00:00pages
181-190eissn
1878-8750issn
1878-8769pii
S1878-8750(17)30286-3journal_volume
102pub_type
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