Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secon...Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secondary展开更多
Background:Basilar invagination(BI)with atlantoaxial dislocation(AAD)is not uncommon in patients with scoliosis,Klippel-Feil syndrome(KFS),and other bone deformities.Cases with combinations of the abovementioned dislo...Background:Basilar invagination(BI)with atlantoaxial dislocation(AAD)is not uncommon in patients with scoliosis,Klippel-Feil syndrome(KFS),and other bone deformities.Cases with combinations of the abovementioned dislocations and deformities with posterior cranial fossa teratoma are rare in the clinic and difficult to handle.Case presentation:This case presents a 34-year-old woman diagnosed with atlantoaxial dislocation and posterior cranial fossa mass.After two surgeries,the posterior cranial teratoma was completely removed with satisfactory atlantoaxial reduction.The postoperative 1-year follow-up examination showed that the bone graft fusion was successful,without remaining significant dysfunction.Conclusions:The surgical risk of irreducible atlantoaxial dislocation combined with posterior cranial fossa tumor is huge.Thus,it needs to be fully preoperatively evaluated and managed carefully in accordance with sound surgical principles.展开更多
文摘Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secondary
文摘Background:Basilar invagination(BI)with atlantoaxial dislocation(AAD)is not uncommon in patients with scoliosis,Klippel-Feil syndrome(KFS),and other bone deformities.Cases with combinations of the abovementioned dislocations and deformities with posterior cranial fossa teratoma are rare in the clinic and difficult to handle.Case presentation:This case presents a 34-year-old woman diagnosed with atlantoaxial dislocation and posterior cranial fossa mass.After two surgeries,the posterior cranial teratoma was completely removed with satisfactory atlantoaxial reduction.The postoperative 1-year follow-up examination showed that the bone graft fusion was successful,without remaining significant dysfunction.Conclusions:The surgical risk of irreducible atlantoaxial dislocation combined with posterior cranial fossa tumor is huge.Thus,it needs to be fully preoperatively evaluated and managed carefully in accordance with sound surgical principles.
