Treatment of pediatric basilar invagination by anterior transoral reduction and fixation
WANG Jianhua
XIA Hong
WU Zenghui
MA Xiangyang
AI Fuzhi
YIN Qingshui
Abstract：Objective To investigate anterior transoral reduction and fixation approaches and therapeutic effects for pediatric basilar invagination. Methods From March 2010 to March 2013, 5 cases of pediatric patients with basiliar invagination were surgically treated by anterior transoral reduction and fixation in Guangzhou General Hospital of Guangzhou Military Command. Cervical medullary angle (CMA) was measured for evaluating the decompression of medulla through MRI images, Japanese Orthopaedic Association (JOA) scoring system was used to evaluate the function of spinal cord; CT scanning and reconstruction was performed to observe bone graft fusion. Results All 5 patients underwent operations successfully. The operative time was 2.5-3.5 h, with the average of(2.7 ± 0.6)h; The estimate blood loss was 40-100 mL, with the average of 55 mL. Spinal decompression was accomplished and CMA improved from preoperative (135 ± 12)° to postoperative (163 ± 11)° (P <0.05); Function of spinal cord improved, and JOA scores increased from (8.3 ± 1.2) preoperatively to (15.7 ± 1.3) postoperatively (P <0.05) . All children were followed up for 12 to 28 months with the average of 18.5 months. Bony fusion were found in 3 to 6 months after operation. During the follow-up, no serious complications such as surgical site infection had happened. Conclusion Anterior transoral reduction and fixation is an effective method for pediatric basilar invagination.
Keywords：Basilar invaginationCervical vertebraeTransoral surgeryInternal fixationBone platesChild
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 133-138 )