Details

Autor(en) / Beteiligte

• Noske, D P
• van Royen, B J
• Bron, J L
• Vandertop, W P

Titel

Basilar impression in osteogenesis imperfecta: can it be treated with halo traction and posterior fusion?

Ist Teil von

• Acta neurochirurgica, 2006-12, Vol.148 (12), p.1301-1305

Ort / Verlag

Austria: Springer Nature B.V

Erscheinungsjahr

2006

Quelle

springer (창간호~2014)

Beschreibungen/Notizen

• Basilar impression (BI) and hydrocephalus complicating osteogenesis imperfecta (OI) is usually treated by anterior transoral decompression and posterior fixation. Nevertheless, it may be questioned if posterior fusion following axial halo traction is adequate in patients with symptomatic BI complicating OI. We report on a case with progressive symptomatic hydrocephalus and BI complicating OI that was successfully treated by halo traction followed by posterior occipitocervical fusion. However, after a symptom free interval of 2 years the patient suffered from recurrence of symptomatic hydrocephalus needing additional ventriculoperitoneal (VP) shunt placement. In conclusion, posterior fusion without additional VP shunt placement may not be effective in the long term for ameliorating symptoms and signs and halting progressive hydrocephalus in BI complicating OI.