id author title date pages extension mime words sentences flesch summary cache txt work_idzolz5mkneuzdpmtw2ebkqdcm Chih-Chang Chang The Nuances of Occipitocervical Instability and Stenosis in Patients With Basilar Invagination and Atlantoaxial Dislocation 2019 2 .pdf application/pdf 908 91 49 AAD is transoral odontoidectomy plus posterior occipital-cervical fusion.2-4 Although the fixation done in a single stage prone position while avoiding the complications from odontoidectomy.5 Chandra et al.6 demonstrate a single stage posterior surgery for reduction and re-alignment using the DCER (distraction, compression, extension, and reduction) technique which combines usage of C1–2 spacers and occipitocervical fusion with custom instrumentation. a reported higher incidence of vertebral artery (VA) anomalies than the normal population.7 Preoperative CT-angiogram is helpful to identify the course and dominant side of the In patients who have significant untreated osteoporosis, odontoidectomy plus in situ occipital-cervical fusion with multiple anchor points The key points of doing a successful single stage posterior reduction and fixation include appropriate patient selection, identification of osseous and vascular anomalies, and use of gentle 1. Wu JC, Mummaneni PV, El-Sayed IH. J Craniovertebr Junction Spine 2010;1:44-8. 4. Mummaneni PV, Haid RW. ./cache/work_idzolz5mkneuzdpmtw2ebkqdcm.pdf ./txt/work_idzolz5mkneuzdpmtw2ebkqdcm.txt