Table 3.
Summary of patients with craniovertebral junction anomalies
| Age (year)/sex | Procedure Executed | ADI (mm) | CL (mm) | WCCL (mm) | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
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| 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