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KMID : 0359819940230111323
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 11 p.1323 ~ p.1327
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Transoral Decompression and Posterior Fusion for Unstable Os Odontoideum and Cord Compression
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문형봉
최원규/조현원/윤성문
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Abstract
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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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KEYWORD
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