Journal of Korean Neurosurgical Society

  • 제51권3호
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  • Pages.177-181
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Intraoperative Vertebral Artery Angiography to Guide C1-2 Transarticular Screw Fixation in a Patient with Athetoid Cerebral Palsy

  • Chung, Jong-Chul (Department of Neurosurgery, Eulji University Hospital) ;
  • Jung, Sung-Sam (Department of Neurosurgery, Eulji University Hospital) ;
  • Park, Ki-Seok (Department of Neurosurgery, Eulji University Hospital) ;
  • Ha, Ho-Gyun (Department of Neurosurgery, Konyang University Hospital)
  • 투고 : 2011.04.14
  • 심사 : 2012.03.08
  • 발행 : 2012.03.28
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초록

We present a case of an athetoid cerebral palsy with quadriparesis caused by kyphotic deformity of the cervical spine, severe spinal stenosis at the cervicomedullary junction, and atlantoaxial instability. The patient improved after the first surgery, which included a C1 total laminectomy and C-arm guided righ side unilateral C1-2 transarticular screw fixation. C1-2 fixation was not performed on the other side because of an aberrant and dominant vertebral artery (VA). Eight months after the first operation, the patient required revision surgery for persistent neck pain and screw malposition. We used intraoperative VA angiography with simultaneous fluoroscopy for precise image guidance during bilateral C1-2 transarticular screw fixation. Intraoperative VA angiography allowed the accurate insertion of screws, and can therefore be used to avoid VA injury during C1-2 transarticular screw fixation in comorbid patients with atlantoaxial deformities.

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참고문헌

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피인용 문헌

  1. Comparison of Cervical Alignment and Clinical Outcomes in Patients with Os Odontoideum versus Non-Os Odontoideum after Atlantoaxial Fixation vol.14, pp.4, 2012, https://doi.org/10.14245/kjs.2017.14.4.143