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. 2021 Sep 14;16(3):531–538. doi: 10.4103/ajns.AJNS_475_20

Table 3.

Summary of patients with craniovertebral junction anomalies

Age (year)/sex Procedure Executed ADI (mm) CL (mm) WCCL (mm)



Preoperative Postoperative Dt Preoperative Postoperative Dt Preoperative Postoperative Dt
23/female C1 lateral mass and C2 pedicle screw and rod fixation 4.5 1.4 3.1 +7.3 +5.1 2.2 3.6 −1.5 5.1
50/male Sub occiput and C2-C3 fixation with foramen magnum decompression by removal of posterior arch of C1 3.4 4.4 −1.0 +6.6 +3.8 2.8 8.6 5.2 3.4
32/male C1 lateral mass and C2 pedicle screws and rod fixation with C1-C2 spacer placement 5.1 3.8 1.3 +10.6 +6.3 4.3 +6.6 +0.2 6.4
20/male Reduction of AAD and BI with occipital plate and C2 pedicle screw and rod fixation 5.4 5.2 0.2 +12.9 +11.4 1.5 +3.3 +3.0 0.3
40/female Reduction of AAD with C1-C2 trans articular fixation 8.4 7.2 1.2 +7.4 +5.2 2.2 +8.9 +7.6 2.3
12/female Foramen magnum decompression with removal of posterior arch of C1 with C2 pedicle and occipital screw and rod fixation 4.2 3.1 1.1 +7.5 +7.0 0.5 +3.5 −2.9 6.4
7/male C1 C2 lateral mass pedicle screw and rod fixation with C1-C2 bone graft placement and distraction of joint with removal of posterior arch of C1 8.7 6.7 2.0 −9.9 −15.8 5.9 +12.3 −2.8 15.1
55/male C1 lateral mass and C2 pedicle screw and rod fixation with C1 C2 joint fusion with bone 4.4 3.2 1.2 −12.4 −13.6 1.2 −8.2 −8.8 0.6
18/female Foramen magnum decompression with removal of occipitalized C1 posterior arch with cord decompression with C2 trans laminar screw and occipital plate and rod fixation 7.5 5.4 2.1 +9.9 +3.1 6.8 +9.1 −1.8 10.9
20/female C1-C2 spacer placement with C1 lateral mass and C2 translaminar screw and rod placement 6.3 3.0 3.7 −2.8 −5.6 2.8 −2.4 −11.2 8.8
11/male Occipital plate with C2 lateral mass screw and rod fixation with C1 C2 fusion using autologous bone 6.9 5.4 1.5 +10.2 +3.9 6.3 +12.0 +5.6 6.4
8/female Occiput-C2 fixation using rod and screw with bilateral spacer at C1-C2 joint with foramen magnum decompression 7.2 6.5 0.7 −3.6 −11.5 7.9 −6.0 −14.4 8.4
33/male C1 posterior arch decompression with C1-C2 spacer insertion with sub occiput and C2 pedicle screw and rod fixation 2.2 1.9 0.3 +21.2 +15.3 5.9 −4.9 −4.6 0.3
26/female Bilateral C1-C2 fixation using C1 lateral mass and C2 translaminar screw and rod placement 8.5 8.3 0.2 −12.2 −14.4 2.3 −5.1 −12.6 7.5
46/male Foramen magnum decompression with decompression and debulking 1.9 1.8 0.1 +18.5 +9.7 8.8+ +10.0 +9.6 0.4
Cerebellar tonsils with augmented duroplasty with occiput and C3-C4 fixation using plate screw and rod
19/female Reduction of AAD and BI with C1-C2 spacer and occipital plate and C2 translaminar screw and screw and rod fixation 7.1 5.1 2.0 +10.2 +6.2 4.0 +8.6 +3.4 2.2
14/male C1 lateral mass and C2 left pedicle, right pars screws and rods fixation with placement of spacer into right C1-C2 joint 5.8 2.1 3.7 +4.4 +0.4 4.0 −1.2 −4.6 3.4
11/male Occipital C2 fusion with right C2 pedicle screw and left C2 laminar screw with rod fixation with C1-C2 distraction and autologous bone placement between C1-C2 4.3 3.9 0.4 +7.9 +6.4 1.5 +10.2 +2.4 7.8

+ – Above line; − – Below line; ADI – Atlanto dental interval; CL – Distance between odontoid tip and chamberlain line; WCCL – Distance between Odontoid tip and Wackenheims line; Dt – Distraction achieved; AAD – Atlantoaxial dislocation; BI – Basilar invagination