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- W2406859095 abstract "Dear Editor, I should like to make some comments of the paper of Re et al.*. The authors report on 10 patients undergoing endoscopic endonasal decompression for different CCJ pathologies. In 8 patients, the authors were able to preserve the anterior C1 arch, while in 2 cases they reconstructed it with clinical improvement or stabilisation and preservation of spinal stability in all without posterior fixation (mean follow-up of 31 months). Four surgical technical topics deserve particular consideration in this paper.The assumed superiority of a transnasal approach compared with a transoral approach to the CCJ.The dural opening and tumour removal in case of C1- C2 neoplastic lesions.The endoscopic pannus removal and subsequent anterior screw fixation by self-tapping screws for a better fracture healing and spinal realignment (only for inveterate C2 Anderson-D'Alonso type II fractures).The anterior arch of C1 reconstruction a) by placing bone chips compressed between the bone under endoscopic control and subsequent fixation with three screws and one plate or b) with autologous bone graft and titanium mash (in a non-union anterior atlas fracture after conservative treatment that developed C1 lateral masses displacement with cranial settling)." @default.
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- W2406859095 date "2016-05-01" @default.
- W2406859095 modified "2023-10-03" @default.
- W2406859095 title "Considerazioni su “Approccio endoscopico endonasale alla cerniera craniocervicale: il ruolo della preservazione dell’arco anteriore di c1 o della sua ricostruzione”" @default.
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- W2406859095 doi "https://doi.org/10.14639/0392-100x-927" @default.
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