XXXX of the craniovertebral junction: a single surgeon's experience.

@entity1 @entity129 @entity66 @entity132 @entity602 @entity5663 @entity425 @entity2070 @entity1691 @entity4048 @entity79 @entity3473 @entity9807 @entity309
OBJECT: The objective of this study was to describe a single surgeon's experience managing @entity66 due to @entity1691 . METHODS: The authors undertook a retrospective review of the records of @entity1 with @entity66 due to @entity1691 who were evaluated and treated by the senior author. Charts were reviewed for symptoms and signs at presentation, radiography results, treatment, and outcome. In addition, some of the @entity1 had pathology reports available for review. RESULTS: Eight @entity1 with @entity66 due to @entity1691 were identified who were evaluated by the senior author in the years 1990-2008. The most common presenting symptoms were @entity4048 (37.5%), @entity129 (37.5%), and @entity132 (62.5%). On examination, the most common findings were limited cervical range of motion (37.5%), @entity425 (50%), and @entity602 (75%). Radiographic evaluation revealed @entity9807 , retroodontoid @entity2070 formation, @entity3473 , and @entity79 . Surgery was offered to all of the @entity1 , 7 of whom underwent operations. In most cases, the treatment was @entity5663 followed by occipitocervical fusion. One @entity1 with a reducible lesion underwent dorsal fusion alone. Neurological outcomes were favorable overall. CONCLUSIONS: The incidence of @entity66 in @entity1 with @entity1691 varies among reports. These cases are rare in most neurosurgery clinics. It is important to recognize that @entity1 with @entity1691 are at risk for @entity66 , similar to @entity1 with @entity309 . Principles common to the management of other CVJ pathologies apply to these @entity1 as well.
