J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803462
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Is Naso-Axial Line a Better Predictor in Endoscopic Endonasal Resection of the Odontoid and Pannus Removal? Technical Nuances of Maximizing Corridor and Maintaining Occipital Cervical Joint Stability

Adnan H. Shahid
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Sudhir Suggala
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Danner Butler
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Ursula Hummel
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Mark Gacek
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Richard Menger
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Jai D. Thakur
1   University of South Alabama Mobile, Mobile, Alabama, United States
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We describe our experience of an endoscopic endonasal odontoidectomy and pannus removal in a patient with severe CVJ compression in a 73-year-old male presenting with myelopathic symptoms. We discuss various technical nuances of maximizing surgical corridors, predictors of the extent of odontoidectomy, and preventing the need for extending the cervical fusion construct to occiput. Postoperatively, the patient had remarkable improvement in his symptoms. Follow-up MRI at 2 months shows significant ventral reduction of CVJ compression.



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Artikel online veröffentlicht:
07. Februar 2025

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