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Is Anatomic Reduction Better Than Partial Reduction in Patients with Vertical Atlantoaxial Dislocation?

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收录情况： ◇ SCIE

作者：

单位： [1]Department of Spine Surgery, China-Japan Friendship Hospital, Beijing [2]Graduate School of Peking Union Medical College, Beijing [3]Graduate School of Beijing University of Chinese Medicine, Beijing [4]Department of Spine Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China

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关键词： Atlantoaxial Dysarthria Dysphagia Hoarseness Occipitocervical fusion

摘要：

OBJECTIVE: To describe lower cranial nerve (CN) palsy following vertical overdistraction when performing occipitocervical fusion (OCF) to treat vertical atlantoaxial dislocation (AAD) and basilar invagination (BI) and investigate its possible causes. METHODS: We report 4 cases with vertical AAD and BI who presented postoperatively with neurogenic dysphagia, dysarthria, and bucking after undergoing anatomic reduction. RESULTS: Patients underwent revision surgery to achieve partial reduction and demonstrated remarkable recovery of CN IX, X, and XI deficits. CONCLUSIONS: Performing OCF in the overdistraction position to treat vertical AAD may caudally displace the brainstem relative to the cranial base, resulting in traction injury to the CN IX, X, and XI where they exit the skull base through the jugular foramen.

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出版当年[2017]版：

大类 | 3 区医学

小类 | 3 区临床神经病学 3 区外科

最新[2025]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

JCR分区：

出版当年[2016]版：

Q2 CLINICAL NEUROLOGY Q2 SURGERY

最新[2023]版：

Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子： 最新[2023版] 1.9 最新五年平均[2021-2025] 2 出版当年[2016版] 2.592 出版当年五年平均[2012-2016] 2.795 出版前一年[2015版] 2.685 出版后一年[2017版] 1.924

第一作者：

第一作者单位： [4]Department of Spine Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China

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通讯作者：

通讯机构： [1]Department of Spine Surgery, China-Japan Friendship Hospital, Beijing [2]Graduate School of Peking Union Medical College, Beijing

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