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- Sang Yun Seok, Dong-Ho Lee, Hyung Rae Lee, Jae Hwan Cho, Chang Ju Hwang, Choon Sung Lee, and Seong Meen Yoon.
- Department of Orthopedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea.
- World Neurosurg. 2023 Jun 1; 174: 697369-73.
AbstractPosterior ring hypoplasia of the atlas (C1) is not common and in most cases is found by chance without symptoms. This disorder is sometimes accompanied by a mild C1-C2 instability or the presence of a space-occupying lesion such as ossification of posterior longitudinal ligament, pannus, or retro-odontoid pseudo-tumor, which are indications for surgery if symptomatic cord compression is present. A C1 posterior arch resection has been the procedure of choice but is associated with several fatal complications. We here present a novel posterior arch decompression technique that is relatively safer and easier and that involves mobilization and posterior translation of the posterior arch as a whole, similar to a vertebral body sliding osteotomy.Copyright © 2023. Published by Elsevier Inc.
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