| Endoscopic endonasal odontoidectomy in a child with chronic type 3 atlantoaxial rotatory fixation: case report and literature review. | |
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MedLine Citation:
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PMID: 22763656 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Although the transoral transpharyngeal approach has been the standard approach to decompress the odontoid process, it bears some disadvantages including risk of infection, prolonged intubation or tracheostomy, need for nasogastric tube feeding, extended hospitalization, and possible effects of phonation. The endoscopic transnasal approach is a viable alternative, managing to avoid some of the pitfalls of the more accepted transoral transpharyngeal approach. However, there have only been a handful of adult cases and only three pediatric cases. CASE REPORT: We present the case of a 10-year-old girl with a chronic type 3 atlantoaxial rotator fixation and significant spinal cord compression from basilar invagination and a displaced odontoid process. We performed an endoscopic endonasal odontoidectomy prior to posterior occiptocervical fusion on the patient. She was neurologically intact with a well-healed wound at 7-month follow-up. |
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Authors:
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Akash J Patel; Jerome Boatey; James Muns; Robert J Bollo; William E Whitehead; Carla M Giannoni; Andrew Jea |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2012-07-05 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 28 ISSN: 1433-0350 ISO Abbreviation: Childs Nerv Syst Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-10-15 Completed Date: 2013-03-25 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 1971-5 Citation Subset: IM |
Affiliation:
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Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street CCC 1230.01, 12th Floor, Houston, TX 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Atlanto-Axial Joint
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radiography,
surgery* Child Decompression, Surgical / methods* Endoscopy / methods* Female Humans Magnetic Resonance Imaging Odontoid Process / radiography, surgery* Spinal Diseases / radiography, surgery* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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