Stress Maneuver for Basilar Invagination Reduction: A Technical Report.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-22 DOI:10.1016/j.wneu.2024.10.061

Marco Túlio Domingos Silva E Reis, François Dantas, Weverson José Teodoro Lacerda, Vinícios Rivelli da Fonseca, Pedro Moreira Coelho Barroso, Gustavo Henrique Reis de Oliveira, Fernando Luiz Rolemberg Dantas

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Abstract

Background: Basilar invagination (BI) is a prolapse of the odontoid process cranially and posteriorly towards the foramen magnum. Several surgical treatment options are available for this condition. Herein, we describe a stress maneuver technique for BI reduction using a single-stage posterior approach.

Methods: We described the case of a 56-year-old male diagnosed with type A BI and brainstem compression, who was treated with posterior fossa decompression and occipitocervical fusion. The BI was reduced intraoperatively using a stress maneuver, and cranial traction or atlantoaxial joint distraction was not necessary.

Results: Postoperative imaging revealed a reduction of the odontoid process and adequate brainstem decompression. The patient showed progressive improvement of his symptoms.

Conclusion: In selected cases, stress maneuvers for BI reduction can be a less morbid, easier, and replicable option within the already existing technical arsenal.

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减少基底膜内陷的压力操纵：技术报告。

背景：基底内陷（BI）是指蝶骨突向颅内和后方向枕骨大孔脱垂。针对这种情况，有多种手术治疗方案可供选择。在此，我们介绍了一种采用单级后方入路减少 BI 的压力手法技术：我们描述了一例被诊断为 A 型 BI 和脑干受压的 56 岁男性病例，他接受了后窝减压和枕颈融合术治疗。术中使用应力手法缩小了 BI，无需进行头颅牵引或寰枢关节牵引：术后造影显示骨突缩小，脑干充分减压。患者的症状逐渐得到改善：结论：在选定的病例中，在现有的技术库中，采用应力手法进行 BI 减缩可以是一种发病率较低、更简单且可复制的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.