An Analytical Study of Posterior Atlanto Dental Interval As A Prognosticator in Patients with Bony Craniovertebral Junction Anomalies
Journal Title: International Journal of Neurology and Neurosurgery - Year 2019, Vol 11, Issue 3
Abstract
Introduction: The Posterior Atlanto Dental Interval (PADI) is the effective canal diameter, measured from the posterior surface of the Dens to the Posterior arch of the Atlas. Objective: To study the role of PADI, in producing the symptoms and also the postoperative outcome in patients with bony CranioVertebral Junction anomalies. Materials and Methods: About 34 patients from March 2016 to Oct 2018 who were operated at Rajiv Gandhi government General Hospital,were prospectively studied. The PADI and the preoperative & Postoperative“Kumar and Kalra Score “ (K and K score) was calculated for all patients. The patients were divided into three groups based on the PADI, into 5 mm to 10 mm group, 10 mm to 15 mm group and >15 mm group. Results: There were 26 male (79.1%) patients and 8 female patients (20.9%) with the mean age of presentation 26.10 years. The PADI was 8.012 mm with range of 5–15 mm. The mean Pre-operative K and K score was 19.52. There were 19 patients with, PADI of 5 mm to 15 mm,12 patients with PADI of 15 mm to 20 mm and 3 patients with PADI more than 20 mm.The correlation coefficient, between the PADI and the Preoperative & Postoperative “K & K Score“ at the time of discharge, 3 months & 6 months postoperative were 0.404, 0.320 and 0.284 respectively. Conclusions: The correlation between PADI and the Preoperative K and K score, was strongest in patients with PADI of about 5 to 10 mm. The correlation between PADI and the Preoperative K & K score became less stronger, as the follow- up period was increased even though they are significantly related to each other.
Authors and Affiliations
DR Shankar
Keywords
Related Articles
- EP ID EP669522
- DOI 10.21088/ijnns.0975.0223.11319.5
- Views 68
- Downloads 0
Primary Ewing's Sarcoma of Spine, Its Management & Outcome: A Retrospective Analysis
Objective: PrimaryEwing’ Sarcoma (ES) of spine is rare entity but causes significant morbidity if not diagnosed in time and not managed properly, so the optimal management of primary Ewing’s Sarcoma spine should be analy...
Clinicopathological Study of Pediatric Head Injuries
Aim: Current study aimed to analyze the clinical and radiological presentation of severe head injury in pediatric population and the outcome and their comparison with that of adult severe head injury. Methods: This is a...
An Analytical Study on Posterior Fossa Meningiomas: An Institutional Experience
Background: The Posterior fossa meningiomas constitute about 15 to 20% of all types of intracranial meningiomas. They usually become large, while they start producing clinical symptoms, because of their slow and indolent...
Isolated Sacral Nerve Root Ependymoma
Ependymomas commonly arise from conus medullaris, cauda equina and filum terminale. Ependymoma involving single nerve root is rare. We report a case of young male with disabling low back pain without motor- sensory defic...
Clinical Profile of Seizures in Children between 1 Month to 12 Years of Age Admitted to Tertiary Care Center
Background: A seizure is a paroxysmal involuntary disturbance of brain functions. Seizures are broadly divided into generalized and partial seizures. Generalized tonicclonic seizures are the most common type of seizures...