%0 Journal Article
%T A Dual Approach for the Management of Complex Craniovertebral Junction Abnormalities: Endoscopic Endonasal Odontoidectomy and Posterior Decompression with Fusion
%A Ali Baaj
%A Andrew F. Alalade
%A Ashutosh Kacker
%A Elizabeth Ogando-Rivas
%A Harminder Singh
%A Ibrahim Hussain
%A Jeffrey P. Greenfield
%A Jonathan Forbes
%A Kurt Lehner
%A Malte Ottenhausen
%A Prakash Nair
%A Rafael Uribe-Cardenas
%A Roger Hartl
%A Theodore H. Schwartz
%A Vijay K. Anand
%J Archive of "World Neurosurgery: X".
%D 2019
%R 10.1016/j.wnsx.2019.100010
%X Ventral brainstem compression secondary to complex craniovertebral junction abnormality is an infrequent cause of neurologic deterioration in pediatric patients. However, in cases of symptomatic, irreducible ventral compression, 360กใ decompression of the brainstem supported by posterior stabilization may provide the best opportunity for improvement in symptoms. More recently, the endoscopic endonasal corridor has been proposed as an alternative method of odontoidectomy associated with less morbidity. We report the largest single case series of pediatric patients using this dual-intervention surgical technique. The purpose of this study was to evaluate the surgical outcomes of pediatric patients who underwent posterior occipitocervical decompression and instrumentation followed by endoscopic endonasal odontoidectomy performed to relieve neurologic impingement involving the ventral brainstem and craniocervical junction
%K Axis
%K Basilar invagination
%K Chiari
%K Endonasal
%K Endoscopic
%K Odontoidectomy
%K Pediatric CT
%K Computed tomography
%K CVJ
%K Craniovertebral junction
%K CXA
%K Clivoaxial angle
%K EEA
%K Endoscopic endonasal approach
%K MRI
%K Magnetic resonance imaging
%K POD
%K Postoperative day
%K VBSC
%K Ventral brainstem compression
%K WCMC
%K Weill Cornell Medical College
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580888/