Endoscopic transnasal decompression for management of basilar invagination in osteogenesis imperfecta

被引:23
作者
Hansen, Mitchell A. [2 ]
da Cruz, Melville J. [3 ]
Owler, Brian K. [1 ,2 ]
机构
[1] Univ Sydney, Childrens Hosp, Westmead Clin Sch, Med Ctr,Discipline Child Hlth & Paediat, Westmead, NSW 2145, Australia
[2] Westmead Private Hosp, Dept Neurosurg, Westmead, NSW, Australia
[3] Westmead Private Hosp, Dept Otorhinolaryngol, Westmead, NSW, Australia
关键词
basilar invagination; occipitocervical fusion; odontoidectomy; osteogenesis imperfecta; transnasal approach;
D O I
10.3171/SPI.2008.9.10.354
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Osteogenesis imperfecta (OI) is a disorder of bone development caused by a genetic dysfunction of collagen synthesis. Basilar invagination (BI) is an uncommon but serious complication of OI. Brainstem decompression in OI is undertaken in certain circumstances. Transoral-transpalatopharyngeal ventral decompression with posterior occipitocervical fusion has become the treatment of choice when required. This technical note Outlines a novel endoscopic transnasal approach for ventral decompression. The literature is reviewed and a strategy for the management of BI in patients with OI is Outlined.
引用
收藏
页码:354 / 357
页数:4
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