Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery
Objective In this study, a novel sliding ‐ traction head holder was independently developed, and its application efficacy in surgeries for craniovertebral junction abnormalities was evaluated. Methods A retrospective analysis was performed on 20 patients with congenital basilar invagination diagnose...
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Tianjin Huanhu Hospital
2024-12-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/2962 |
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| author | WU Kun ZHANG Fan FAN Tao |
| author_facet | WU Kun ZHANG Fan FAN Tao |
| author_sort | WU Kun |
| collection | DOAJ |
| description | Objective In this study, a novel sliding ‐ traction head holder was independently developed, and its application efficacy in surgeries for craniovertebral junction abnormalities was evaluated. Methods A retrospective analysis was performed on 20 patients with congenital basilar invagination diagnosed and treated at Sanbo Brain Hospital, Capital Medical University from May 2022 to May 2024. Basilar invagination was classified into type Goel A patients (n = 12) and type Goel B patients (n = 8) according to the presence or absence of atlantoaxial dislocation. All patients underwent posterior facet distraction and fusion (PFDF) under traction of the novel sliding‐traction head holder. The operation time, intraoperative blood loss, and postoperative complications were recorded. The imaging indexes (atlanto ‐ dental interval, the distance from the odontoid tip to Chamberlain's line, clivus‐pivot angle, and medulla oblongata‐spinal cord angle) were recorded. The function impairment was assessed by Japanese Orthopedic Association (JOA). Results Compared with preoperatively, the clivus‐pivot angle (t = ‐ 3.499, P = 0.006; t = ‐ 4.249, P = 0.004) and the medulla oblongata‐spinal cord angle (t = ‐ 6.480, P = 0.000; t = ‐ 6.134, P = 0.000) were significantly increased in type Goel A and type Goel B patients, the atlanto‐dental interval (Z = ‐ 3.018, P = 0.003) in type Goel A patients and the distance from the odontoid tip to Chamberlain's line (Z = ‐ 2.485, P = 0.013; Z = ‐ 1.995, P = 0.050) in type Goel A and type Goel B patients were significantly reduced. All patients showed significant improvement in JOA score (Z = ‐ 4.389, P = 0.000). At one week and 3 months after surgery, there was no implant displacement in the craniocervical junction reconstructed by MRI and CT, and no serious complications such as aggravated neurological dysfunction, secondary revision and postoperative infection occurred. Conclusions The application of the sliding ⁃ traction head holder in surgery for the cranio⁃cervical junction area exhibits high safety and effectiveness. The stability of the head and the precise adjustment of traction force during the operation can reduce the risk of complications. Demonstrating significant therapeutic effects in the surgical treatment of patients with congenital basilar invagination. |
| format | Article |
| id | doaj-art-06bafdd2cf5b4565b2c91b1df06ac48e |
| institution | Kabale University |
| issn | 1672-6731 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj-art-06bafdd2cf5b4565b2c91b1df06ac48e2025-01-14T11:05:51ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312024-12-012498599110.3969/j.issn.1672‐6731.2024.12.003Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgeryWU Kun0ZHANG Fan1FAN Tao2Spine Center, Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing 100093, ChinaSpine Center, Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing 100093, ChinaSpine Center, Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing 100093, ChinaObjective In this study, a novel sliding ‐ traction head holder was independently developed, and its application efficacy in surgeries for craniovertebral junction abnormalities was evaluated. Methods A retrospective analysis was performed on 20 patients with congenital basilar invagination diagnosed and treated at Sanbo Brain Hospital, Capital Medical University from May 2022 to May 2024. Basilar invagination was classified into type Goel A patients (n = 12) and type Goel B patients (n = 8) according to the presence or absence of atlantoaxial dislocation. All patients underwent posterior facet distraction and fusion (PFDF) under traction of the novel sliding‐traction head holder. The operation time, intraoperative blood loss, and postoperative complications were recorded. The imaging indexes (atlanto ‐ dental interval, the distance from the odontoid tip to Chamberlain's line, clivus‐pivot angle, and medulla oblongata‐spinal cord angle) were recorded. The function impairment was assessed by Japanese Orthopedic Association (JOA). Results Compared with preoperatively, the clivus‐pivot angle (t = ‐ 3.499, P = 0.006; t = ‐ 4.249, P = 0.004) and the medulla oblongata‐spinal cord angle (t = ‐ 6.480, P = 0.000; t = ‐ 6.134, P = 0.000) were significantly increased in type Goel A and type Goel B patients, the atlanto‐dental interval (Z = ‐ 3.018, P = 0.003) in type Goel A patients and the distance from the odontoid tip to Chamberlain's line (Z = ‐ 2.485, P = 0.013; Z = ‐ 1.995, P = 0.050) in type Goel A and type Goel B patients were significantly reduced. All patients showed significant improvement in JOA score (Z = ‐ 4.389, P = 0.000). At one week and 3 months after surgery, there was no implant displacement in the craniocervical junction reconstructed by MRI and CT, and no serious complications such as aggravated neurological dysfunction, secondary revision and postoperative infection occurred. Conclusions The application of the sliding ⁃ traction head holder in surgery for the cranio⁃cervical junction area exhibits high safety and effectiveness. The stability of the head and the precise adjustment of traction force during the operation can reduce the risk of complications. Demonstrating significant therapeutic effects in the surgical treatment of patients with congenital basilar invagination.http://www.cjcnn.org/index.php/cjcnn/article/view/2962atlanto ‐ axial jointjoint dislocationsatlanto ‐ occipital jointcongenital abnormalitiesspinal fusion |
| spellingShingle | WU Kun ZHANG Fan FAN Tao Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery Chinese Journal of Contemporary Neurology and Neurosurgery atlanto ‐ axial joint joint dislocations atlanto ‐ occipital joint congenital abnormalities spinal fusion |
| title | Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery |
| title_full | Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery |
| title_fullStr | Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery |
| title_full_unstemmed | Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery |
| title_short | Application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery |
| title_sort | application of a novel sliding ⁃ traction head holder in craniovertebral junction abnormalities surgery |
| topic | atlanto ‐ axial joint joint dislocations atlanto ‐ occipital joint congenital abnormalities spinal fusion |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/2962 |
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