PDF(Pubmed)
Abstract：
Odontoid pannus is an abnormal collection of degenerative or inflammatory tissue on the C1-dens joint that can result in severe spinal cord compression myelopathy. Treatment options vary depending on severity and etiology. In cases of severe cord compression, surgical management could be either through a purely posterior approach or in combination with an anterior decompression via endoscopic endonasal approach (EEA). This case presents a 77-year-old female who underwent posterior cervical fixation for odontoid pannus causing dramatic cervical myelopathy who failed to improve over a 6-month period and required anterior transodontoid pannus resection and decompression via EEA. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23176.
摘要：
齿状血管nus是C1-dens关节上变性或炎症组织的异常集合，可导致严重的脊髓压迫性脊髓病。治疗选择取决于严重程度和病因。在严重脊髓压迫的情况下，手术治疗可以通过单纯的后入路,也可以结合内镜经鼻入路(EEA)的前路减压.该病例为一名77岁的女性，她接受了齿状突pan的后路颈椎固定术，导致严重的脊髓型颈椎病，在6个月内未能改善，需要通过EEA切除和减压。视频可以在这里找到：https://stream。cadmore.媒体/r10.3171/2024.1。FOCVID23176。
