FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313251507> ?p ?o ?g. }

• W4313251507 endingPage "114" @default.
• W4313251507 startingPage "114" @default.
• W4313251507 abstract "While accessing the C1-C2 joint during posterior atlantoaxial fixation, the C2 nerve root along with its perineural venous plexus remains an obstacle for a panoramic visualization of the entry point of the C1 lateral mass and joint preparation. Therefore, many surgeons frequently advocate its intentional sectioning during this approach, with no related major complications.1,2 However, this sectioning has at times been associated with symptoms such as hypoesthesia, numbness, dysesthesia, and neuropathic ulcers.3 Thus C2 nerve root preservation during posterior approach for atlantoaxial dislocation (AAD) could potentially avoid such consequences.4 Its preservation has been described for AAD cases with relatively normal C1-C2 joint anatomy with no osseovascular abnormalities.2 In contrast, attempt at C2 nerve root preservation in patients with congenital AAD harboring bony and vascular anomalies poses a greater challenge owing to a restricted operative space and the potential for perineural venous bleeding during dissection. This is more so for young neurosurgeons in the initial part of their learning curve. Video 1 details the technique of C2 nerve root dissection and preservation in a case of congenital AAD with an anomalous vertebral artery (VA). Computed tomography (CT) of this 30-year-old male patient with spastic quadriparesis showed AAD/basilar invagination with an assimilated C1-arch and right anomalous VA on CT angiography. He underwent C1-C2 joint manipulation and short-segment fixation. At 1-year follow-up, the patient's limb weakness had improved and CT showed good bony fusion. The salient operative steps involve gentle teasing and dissection of perineural soft tissues above and below the nerve root; the key to minimize venous bleeding is to dissect, coagulate, and divide them sequentially. A thorough release of the perineural soft tissues allows adequate nerve root mobilization, which in turn provides clear visualization of the C1-C2 joint space, preventing an undue nerve stretching during the C1-lateral mass screw insertion. The anomalous VA usually lies anterior to the C2 nerve root, and careful imaging evaluation allows its anticipation.3 We do not prefer the easy alternative of C2 nerve root sacrifice because of its inherent complications we noticed in our earlier clinical practice.3." @default.
• W4313251507 created "2023-01-06" @default.
• W4313251507 creator A5010404742 @default.
• W4313251507 creator A5035154449 @default.
• W4313251507 creator A5072048792 @default.
• W4313251507 creator A5072167002 @default.
• W4313251507 date "2023-03-01" @default.
• W4313251507 modified "2023-10-17" @default.
• W4313251507 title "Technique of C2 Nerve Root Preservation in the Presence of Anomalous Vertebral Artery in Atlantoaxial Operations" @default.
• W4313251507 cites W1985910380 @default.
• W4313251507 cites W2003090294 @default.
• W4313251507 cites W2883975385 @default.
• W4313251507 cites W3203178725 @default.
• W4313251507 doi "https://doi.org/10.1016/j.wneu.2022.12.097" @default.
• W4313251507 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36584896" @default.
• W4313251507 hasPublicationYear "2023" @default.
• W4313251507 type Work @default.
• W4313251507 citedByCount "0" @default.
• W4313251507 crossrefType "journal-article" @default.
• W4313251507 hasAuthorship W4313251507A5010404742 @default.
• W4313251507 hasAuthorship W4313251507A5035154449 @default.
• W4313251507 hasAuthorship W4313251507A5072048792 @default.
• W4313251507 hasAuthorship W4313251507A5072167002 @default.
• W4313251507 hasConcept C105702510 @default.
• W4313251507 hasConcept C126838900 @default.
• W4313251507 hasConcept C141071460 @default.
• W4313251507 hasConcept C178409289 @default.
• W4313251507 hasConcept C2775862295 @default.
• W4313251507 hasConcept C2776382936 @default.
• W4313251507 hasConcept C2776944266 @default.
• W4313251507 hasConcept C2780192575 @default.
• W4313251507 hasConcept C2780405337 @default.
• W4313251507 hasConcept C2993901315 @default.
• W4313251507 hasConcept C71924100 @default.
• W4313251507 hasConceptScore W4313251507C105702510 @default.
• W4313251507 hasConceptScore W4313251507C126838900 @default.
• W4313251507 hasConceptScore W4313251507C141071460 @default.
• W4313251507 hasConceptScore W4313251507C178409289 @default.
• W4313251507 hasConceptScore W4313251507C2775862295 @default.
• W4313251507 hasConceptScore W4313251507C2776382936 @default.
• W4313251507 hasConceptScore W4313251507C2776944266 @default.
• W4313251507 hasConceptScore W4313251507C2780192575 @default.
• W4313251507 hasConceptScore W4313251507C2780405337 @default.
• W4313251507 hasConceptScore W4313251507C2993901315 @default.
• W4313251507 hasConceptScore W4313251507C71924100 @default.
• W4313251507 hasLocation W43132515071 @default.
• W4313251507 hasLocation W43132515072 @default.
• W4313251507 hasOpenAccess W4313251507 @default.
• W4313251507 hasPrimaryLocation W43132515071 @default.
• W4313251507 hasRelatedWork W1990226309 @default.
• W4313251507 hasRelatedWork W2017992009 @default.
• W4313251507 hasRelatedWork W2081033500 @default.
• W4313251507 hasRelatedWork W2181844661 @default.
• W4313251507 hasRelatedWork W2377129129 @default.
• W4313251507 hasRelatedWork W2383418464 @default.
• W4313251507 hasRelatedWork W2388575443 @default.
• W4313251507 hasRelatedWork W3031538359 @default.
• W4313251507 hasRelatedWork W4313251507 @default.
• W4313251507 hasRelatedWork W2588307342 @default.
• W4313251507 hasVolume "171" @default.
• W4313251507 isParatext "false" @default.
• W4313251507 isRetracted "false" @default.
• W4313251507 workType "article" @default.