EVALUATION OF THE CRANIOCERVICAL JUNCTION OF THE ADOLESCENT PATIENTS WITH CONGENITAL SPINAL DEFORMITY VIA COMPUTERIZED TOMOGRAPHY
Journal Title: Journal of Turkish Spinal Surgery - Year 2015, Vol 26, Issue 2
Abstract
Aim: Analysis of the craniocervical junction of adolescent patients with congenital spine deformities with computed tomography (CT) was planned. Materials and Methods: 23 adolescent patients (15 females and 8 males) with congenital spine pathology and CT of the cervical region were evaluated retrospectively. The mean age was 18.4 years (10-19 years). Basion-axis interval (BAI), basion-dens interval (BDI), Powers ratio, atlanto-occipital interval (AOI), atlantodental interval (ADI) and posterior atlantodental interval (PADI) were measured in CT. Results were compared according to gender, presence or absence of atlantoaxial anomalies and inraspinal anomalies. Mann-Whitney U test was used for comparisons between groups. Results: The median, minimum and maximum values measured by CT were calculated in all patients. In CT, BAI was found as 2.5 mm (0-7.4 mm), BDI was found as as 4.0 mm (2-7.5 mm), Powers ratio was found as 0.76 (0.63-0.88), AOI was found as 1.2 mm (0-2.8 mm), ADI was found as 1.5 mm (0-3.1 mm) and PADI was found as 17.5 (14.6-23 mm). AOI was found to be significantly different in the patients with congenital anomalies in atlantoaxial junction when compared to the patients without congenital anomalies (P=0.015). In patients with intraspinal anomalies, BDI showed statistically significant differences (P = 0.008). Conclusion: Being high values of BDI in the patients with AOI and intraspinal anomalies in the presence of atlantoaxial pathology compared to those without could be important when a treatment for craniocervical junction in the adolescent cases accompanied by congenital spinal deformity. The larger number of patients for craniocervical junction is needed for comprehensive detailed studies.
Authors and Affiliations
Mehmet Bülent BALIOGLU, Yunus ATICI, Akif ALBAYRAK, Deniz KARGIN, Yunus Emre AKMAN, Mehmet Akif KAYGUSUZ
LATE OPERATIVE STABILIZATION OF THE LUMBAR FRACTURE-DISLOCATION (A case report)
A rarely seen, late and neglected fracture-dislocation of the lumbar vertebrae which was stabilized operatively is discussed and reported.
SURGICAL RESULTS OF UNSTABLE THORACOLUMBAR VERTEBRAL FRACTURES
Twenty-six patients with unstable vertebral fractures were operated at Hospital of Fırat University Medical School between August 1995 and August 1999.17 (65.3%) patients were male and 9 (34.7%) vvere female. The mean ag...
COMPARISON OF IN SITU FUSION AND INSTRUMENTATION W1TH FUSION İN TREATMENT OF SPONDYLOLISTHESIS
We are presenting a retrospective study comparing the results of insitu posterolateral fusiorı and instrumenta-tion with posterolateral fusion (with or vvithout reduction) performed in 18 (13 female and 5 male) patients...
CONSERVATIVE MANAGEMENT OF TUBERCULOSIS OF CERVICAL SPINE-A CLİNİCAL STUDY
Aim: To evaluate the occurrence of cervical tuberculosis and to see objectively the effectiveness of conservative treatment in the management of tuberculosis of the cervical spine with neurological involvement. Metho...
CONGENITAL SCOLIOSIS Moderate Term Results of Surgical Intervention
Forty-three patients with congenital spinal deformities, that had surgical treatment in Hacettepe University hos-pitals are presented. Average patient age at the time of surgery was 11.0 years, 15 patients were males 28...