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PubMed · 753410

[Note on the variability of the basicranial axes].

Abstract

On 114 lateral radiographies of skulls, we looked for the best basicranial axis, i.e. the least variable, the most stable. One should discard the foramen magnum plane (too variable due to the basion lack of precision); the same is true for the axes passing through the sellion point, because the Sella turcica center is situated relatively lower in women and in toothless persons (at least in our series); the studies on the sphenoidal angle are thus tainted with error, the jugum and clivus planes being still more unprecise. Incidentally, let us report the little value of the palatine plane (but not of the nasal plane). The positive results are as follows: compared to the bregma-lambda axis, the nasion-opisthion axis is less variable than the auriculo-orbitary Francfort plane. But this last plane contracts higher correlations with the bregma-nasiolambda angle. Thus Francfort and nasion-opisthion axes both look equally good.

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BibTeXRIS

G Olivier. 1978. [Note on the variability of the basicranial axes].. https://pubmed.ncbi.nlm.nih.gov/753410/

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Surgical treatment of cervical kyphosis in Larsen syndrome: report of 3 cases and review of the literature.

STUDY DESIGN: A retrospective case series. OBJECTIVE: To review the surgical results for midcervical kyphosis in 3 cases with Larsen syndrome, and to discuss the choice of surgical treatments. SUMMARY OF BACKGROUND DATA: Cervical kyphosis is the most hazardous and serious manifestation of Larsen syndrome due to the risk of life-threatening paralysis, and thus usually requires surgical treatment. However, little information has been reported concerning surgical treatments for this challenging condition. METHODS: Three patients with Larsen syndrome were surgically treated for midcervical kyphosis at our institution. RESULTS: An infant with mild cervical kyphosis was successfully treated with posterior arthrodesis using a halo immobilization, and anterior vertebral growth with a mature posterior fusion mass resulted in spontaneous correction of the kyphosis. In the remaining 2 infants with myelopathic symptoms due to severe and structural kyphosis, anterior decompression and fusion via a lateral approach followed by posterior fusion with segmental spinal instrumentation and halo immobilization resulted in improved neurologic symptoms and solid fusion. CONCLUSIONS: Posterior spinal fusion is only indicated for patients with mild and flexible cervical kyphosis, and anterior decompression and circumferential arthrodesis is required for patients with severe kyphotic deformity, who usually develop myelopathic symptoms. Anterior surgery for such a small patient with severe kyphosis involves much higher risk of spinal cord injury during decompression maneuvers and difficulty in stabilization of the reconstructed cervical spine. Therefore, all patients with Larsen syndrome should be screened with radiographs at the first visit to detect cervical kyphosis early so that posterior alone fusion is possible.

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