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Skull base surgery. 1992 January; 2(1): 6–10.
PMCID: PMC1656390

Limits of the Transoral Approach in Craniospinal Malformations


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.

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Selected References

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