치상골로 인한 제 1-2 경추 탈구 및 경수 압박을 보이는 환자에서 경구적 감압술 및 후방융합술 1례
Transoral Decompression and Posterior Fusion for Unstable Os Odontoideum and Cord Compression
소속 상세정보
문형봉
최원규/조현원/윤성문
KMID : 0359819940230111323
Abstract
The authors present the one case of a 22-year-old man admitted with intermittent quadriparesis and respiratory difficulty. On investigation, atlantoaxial instability and upper cervical cord compression due to abnormal soft tissue were revealed.
We
have
performed transoral decompression and biopsy, and then posterior transarticular facet screw fixation with interspinous wiring and fusion. We could obtain immediate and long-term postoperative stability with Philadelphia collar only. The
pathologic
examination reveald connective soft tissue hypertrophy due to chronic mechanical irritation.
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