Abstract :
Introduction: Management of complex cranio-vertebral junction anomalies with atlanto-axial instability require extensive pre-operative work up with various intra-operative (and/or preoperative) manouvres and bony fusion procedures and post-operative rehabilitation and support. This study focuses on various management strategies in terms of its outcome and complications. Materials and methodology: This clinical analytical study shares our experience of 63 cases of cv junction anomalies with atlanto-axial instability operated at tertiary care center in india. 63 patients operated during the period spanning from June-2019 to November-2021 who had atlanto axial instability (AAD WITH/WITHOUT BI). Patients were assessed pre-operatively and post-operatively up to 3 months objectively and subjectively in terms of outcome and post op radiology was also done. Results: Out of 63 atlanto-axial operated patients, 42 improved, 3 had stable disease and 12 deteriorated clinically some of whom required also secondary procedures for it. Out of 63 ,8 patients had died,4 of them were pediatric and 4 were adults. Various procedure related complications occurred in 12 patients. Conclusion: Thus, with proper pre-operative diagnosis of type of congenital anomaly combined with appropriate surgical plan can give impacting results in these pathologies with minimal complications.
Key words: cranio-vertebral junction anomalies, atlanto-axial instability, DCER, C1-C2 fusion
Keyword :
cranio-vertebral junction anomalies, atlanto-axial instability, DCER, C1-C2 fusion