caa a22 4500 445833645 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-011-1734-5 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1734-5 Factors related to surgical outcome after posterior decompression and fusion for craniocervical junction lesions associated with osteogenesis imperfecta [Elektronische Daten] [Shiro Imagama, Norimitsu Wakao, Hiroshi Kitoh, Yukihiro Matsuyama, Naoki Ishiguro] Treatment for craniocervical junction lesions associated with osteogenesis imperfecta (OI) has been described, but there are divergent views on operative procedures and preoperative and postoperative therapies due to the small number of cases. It has been suggested that a major procedure such as combined anterior and posterior surgery with concomitant ventriculoperitoneal (VP) shunting is required for OI associated with basilar impression (BI). However, here we report a case with a good outcome after posterior decompression fusion only. The patient was a 29-year-old woman with OI (Sillence type-IA) who had neurological symptoms of vertigo, nausea, and shaking during walking. Diagnostic imaging revealed hydrocephalus, severe BI, and Chiari type-II malformation. Preoperative Halo traction led to improvement in symptoms, and posterior decompression fusion from the occipital bone to C6 was subsequently performed. Lateral mass screws and Nesplon cables as sublaminar wiring for reinforcement for fusion were used in the operation. The patient wore a Halo vest for 4weeks postoperatively. She experienced no symptoms postoperatively. Bone fusion and improved hydrocephalus were clear on images at 3years after surgery, and the postoperative course has been good. In craniocervical junction lesions associated with OI, instability with compression of the nerve and bone fragility in multiple sites can become problematic. Anterior odontoid resection and posterior fusion are required for OI with BI to give ideal decompression on images. However, the results of this case suggest that a good postoperative outcome can be achieved by performing not the combination of anterior odontoid resection and VP shunting, but only with posterior decompression fusion, especially for OI cases of Sillence type-I. Springer-Verlag, 2011 Osteogenesis imperfecta nationallicence Basilar impression nationallicence Hydrocephalus nationallicence Posterior decompression fusion nationallicence Anterior odontoid resection nationallicence Imagama Shiro Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut Wakao Norimitsu Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut Kitoh Hiroshi Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut Matsuyama Yukihiro Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, 431-3192, Hamamatsu, Shizuoka, Japan aut Ishiguro Naoki Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut European Spine Journal Springer-Verlag 20(2011-07-01), 320-325 0940-6719 20<320 2011 20 586 https://doi.org/10.1007/s00586-011-1734-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1734-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Imagama Shiro Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Wakao Norimitsu Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Kitoh Hiroshi Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Matsuyama Yukihiro Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, 431-3192, Hamamatsu, Shizuoka, Japan aut NATIONALLICENCE 700 1- Ishiguro Naoki Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho Showa-ku, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 320-325 0940-6719 20<320 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer