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- W3088976576 abstract "Craniovertebral junction (CVJ) deformity is a challenging pathology that can result in progressive deformity, myelopathy, severe neck pain, and functional disability, such as difficulty swallowing. Surgical management of CVJ deformity is complex for anatomical reasons; given the discreet relationships involved in the surrounding neurovascular structures and intricate biochemical issues, access to this region is relatively difficult. Evaluation of the reducibility, CVJ alignment, and direction of the mechanical compression may determine surgical strategy. If CVJ deformity is reducible, posterior in situ fixation may be a viable solution. If the deformity is rigid and the C1â2 facet is fixed, osteotomy may be necessary to make the C1â2 facet joint reducible. C1â2 facet release with vertical reduction technique could be useful, especially when the C1â2 facet joint is the primary pathology of CVJ kyphotic deformity or basilar invagination. The indications for transoral surgery are becoming as narrow as a treatment for CVJ deformity. In this article, we will discuss CVJ alignment and various strategies for the management of CVJ deformity and possible ways to prevent complications and improve surgical outcomes. Keywords: Craniovertebral junction, Alignment, Kyphosis, Basilar invagination, Deformity, Treatment" @default.
- W3088976576 created "2020-10-01" @default.
- W3088976576 creator A5010595698 @default.
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- W3088976576 date "2020-09-30" @default.
- W3088976576 modified "2023-10-17" @default.
- W3088976576 title "Evaluation and Surgical Planning for Craniovertebral Junction Deformity" @default.
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- W3088976576 doi "https://doi.org/10.14245/ns.2040510.255" @default.
- W3088976576 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7538356" @default.
- W3088976576 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33022160" @default.
- W3088976576 hasPublicationYear "2020" @default.
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