Pathological biomechanics of craniovertebral junction spondylitis
Keywords:
spondylitis, cranio-vertebral junction, biomechanics, combined spondylodesis
Abstract
The choice of management for craniovertebral junction (CVJ) spondylitis should be based both on morphologic and biomechanical changes of this region. Utilizing biomechanical concept of Denis, we proposed three column model of CVJ, that explain biomechanical changes in spondylitis, caused by the forces of the tonic muscles and cantilever location of the head. Proposed biomechanical model determines the tactics of surgical management, based on restoration of the affected CVJ columns.References
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Aruncumar M.J., Rajshekhar V. Outcome in neurologically impaired patients with craniovertebral junction tuberculosis: results of combined antero-pоsterior surgery // J. Neurosurg (Spine 2).- 2000.- Vol. 97.- P. 166-171.
Behari S. Craniocervical tuberculosis: protocol of surgical management // J. Neurosurg.- 2003.- Vol. 52.- N. 1.- P. 72-80.
Denis F. // The three column spine and its significance in the classification of acute thoracolumbar spinal injuries // Spine. - 1983. -Vol.8. - P.817-831
Edwards J., David K., Crockad H. Management of tuberculomas of the craniovertebral junction // Br. J. Neurosurg.- 2000.- Vol. 14.- P. 19-22.
Fang D., Leong J., Harry S. Tuberculosis of the upper cervical spine // J. Bone Joint Surg. (Br.).- 1983.- Vol. 65 B, № 1.- P. 4750.
Fang H.S., Ong G.B. Direct anterior approach to the upper сervical spine // J. Bone Joint Surg.- 1962.- Vol. 44 A.- P. 15881604.
Lifeso R. Atlanto-axial tuberculosis in adults // J. Bone Joint Surg. (Br.).- 1987.- Vol. 68.- P. 183-187.
Parke W.W., Rothman R.H., Brown M.D. The pharingovertebral vein: An anatomical rational for crisel^s syndrome // J. Bone Joint Surg. Am.- 1984.- Vol. 66.- P. 568-574.
Wоng L.X. Peroral focal debridement for treatment of tuberculosis of the atlas and axis // Chir. J. Orthop.- 1981.- Vol. 1, N 4.- P. 207-209.
Published
2007-05-31
How to Cite
Киселев, А., Лавров, В., Кротенков, П., & Есин, И. (2007). Pathological biomechanics of craniovertebral junction spondylitis. Bulletin of the International Scientific Surgical Association, 2(1), 43-45. Retrieved from http://www.surgjournal.ru/index.php/BISSA/article/view/149
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Section
Original Articles
