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  • Title: How I do it? Cranial setup for cranial settling.
    Author: Cárdenas Ruiz-Valdepeñas E, Kaen A, Perez Prat G.
    Journal: Acta Neurochir (Wien); 2017 Oct; 159(10):1919-1923. PubMed ID: 28577039.
    Abstract:
    BACKGROUND: Expanded endonasal endoscopic techniques allow us to treat several pathologies related to the odontoid process and craniocervical junction. Cases such as giant basilar invagination represent a surgical challenge. METHODS: The authors provide technical nuances and describe how to complete an endoscopic endonasal odontoidectomy and release the craniocervical junction with the aim of restoring a correct sagittal balance in cases with giant basilar invagination. The study of cadaveric specimens adds clarifying dissections. CONCLUSIONS: Endonasal endoscopic odontoidectomy and craniocervical junction joint release allow the treatment of irreducible basilar invagination and restoration of better sagittal balance before posterior cervical occipitocervical fusion.
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