Publication Type Case Report
Authors Laufer I, Greenfield J, Anand V, Härtl R, Schwartz T
Journal J Neurosurg Spine
Volume 8
Issue 4
Pagination 376-80
Date Published 04/01/2008
ISSN 1547-5654
Keywords Arthritis, Juvenile, Dwarfism, Endoscopy, Neuronavigation, Odontoid Process, Spondylarthritis
Abstract The authors report a case of a nonachondroplastic dwarf with severe basilar invagination and compression of the cervicomedullary junction (CMJ) due to juvenile rheumatoid arthritis. Initially excellent reduction of the invagination and decompression of the CMJ was achieved using posterior fixation. However, 1 month postoperatively symptoms recurred and the authors found imaging evidence of recurrence as well. The patient subsequently underwent an endoscopic transnasal resection of the dens with assistance of Iso-C navigation. He recovered well and tolerated regular diet on postoperative Day 2.
DOI 10.3171/SPI/2008/8/4/376
PubMed ID 18377323
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