Atlanto-occipital Instability Following Endoscopic Endonasal Approach for Lower Clival Lesions: Experience With 212 Cases.

@article{Kooshkabadi2015AtlantooccipitalIF,
  title={Atlanto-occipital Instability Following Endoscopic Endonasal Approach for Lower Clival Lesions: Experience With 212 Cases.},
  author={Ali Kooshkabadi and Phillip A. Choi and Maria Koutourousiou and Carl H. Snyderman and Eric Wesley Wang and Juan C. Fernandez-Miranda and Paul A. Gardner},
  journal={Neurosurgery},
  year={2015},
  volume={77 6},
  pages={888-97; discussion 897}
}
BACKGROUND The endoscopic endonasal approach (EEA) for craniocervical lesions involving the lower clivus and occipital condyles carries an unclear risk of atlanto-occipital (AO) instability requiring arthrodesis. OBJECTIVE Elucidate risk factors for AO instability following EEA for clival lesions. METHODS We reviewed patients with clival tumors who underwent EEA at our institution between 2002 and 2012. Resection of the lower clivus, foramen magnum, AO joint, and occipital condyles were… CONTINUE READING
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