Document Detail

The operative management of basilar impression in osteogenesis imperfecta.
MedLine Citation:
PMID:  2259408     Owner:  NLM     Status:  MEDLINE    
Four patients with osteogenesis imperfecta and neurologically significant basilar impression have been treated over the past 8 years. The experience has resulted in changes in our therapeutic strategy for this particularly difficult problem. These cases are discussed with respect to the disease process, neurological involvement, radiological findings, and modes of surgical therapy. The errors in management as well as the success resulting from our learning experience are described. Currently, we recommend the extensive removal of the anterior bony compression by a transoral approach. This should be followed by a posterior rigid fixation that transfers the weight of the head to the thoracic spine, in an effort to prevent further basilar invagination.
H L Harkey; H A Crockard; J M Stevens; R Smith; A O Ransford
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurosurgery     Volume:  27     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1991-01-29     Completed Date:  1991-01-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  782-6; discussion 786     Citation Subset:  IM    
Department of Surgical Neurology, National Hospitals for Nervous Diseases, Maida Vale, London, England.
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MeSH Terms
Cervical Vertebrae / surgery
Magnetic Resonance Imaging
Occipital Bone / surgery
Osteogenesis Imperfecta / complications*
Platybasia / diagnosis,  etiology,  surgery*
Tomography, X-Ray Computed

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