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Skull Base 1992; 2(1): 6-10
DOI: 10.1055/s-2008-1057106
Original Articles

© 1991 by Thieme Medical Publishers, Inc., 381 Park Avenue South, New York, NY 10016

Limits of the Transoral Approach in Craniospinal Malformations

G. Laborde, J. Gilsbach, H. Bertalanffy, A. Harders, M. Hardenack
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Publication History

Publication Date:
03 March 2008 (online)

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Abstract

Over a 15-year period, 15 patients with craniospinal malformations were operated on using the transoral route. Ten patients had basilar impression and five had atlantoaxial dislocation; nine patients had associated lesions. Patients treated with reposition and dorsal fusion recovered well without ventral decompression. We found that transoral odontoidectomy is suitable as a primary decompressing measure only in ventral compression or nondislocated atlantoaxial conditions.