Publique en esta revista
Información de la revista


Contenidos del congreso
XXI Congreso Nacional de la Sociedad Española de Neurocirugía
Barcelona, 17-19 Mayo 2017
Listado de sesiones
Texto completo


G. Pérez Prat, E. Cárdenas Ruiz Valdepeñas, A. Kaen, J. Tirado Caballero, M. González Pombo, M. Olivares Blanco and F.J. Márquez Rivas

Hospital Universitario Virgen del Rocío, Sevilla, Spain.

Objectives: Surgical correction of basilar invagination demands a staged plan. In this communication we are willing to display the method we set up at our department hospital. The specific sagittal balance gains out of every phase in our method are shown and depicted.

Methods: We present a single case of a 28 year old woman diagnosed with giant basilar invagination. The patient first underwent a halo vest traction period followed by EEA odonoidectomy. After that, a second halo vest traction stage gave the patient complete restoration of a non pathological sagittal balance in the cranioverterbral junction. At this point, a cervical posterior approach for instrumentation was peformed. A late halo vest traction period layed down the spinal balance improvement.

Results: No complications directly related to our plan were registered. Proper evolution was recorded in the acute postodontoidectomy time in the ICU. Unluckily, a fungal pneumonia compromised the subject after returning to the Neurosurgery Department ward and a second ICU stay was needed. After an over 6 month follow up, no signs of sagittal balance distortion have been observed. The patient has not required any kind of cervical bracing since the staged treatment plan was completed.

Conclusions: Basilar invagination, aka cranial settling, can be safely treated. It demands a surgical plan which stages have to be brought in depending on sagittal balance correction degrees.


Suscríbase al Newsletter

es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.