Spine Treatment & Neurosurgery

Surgery of the Craniovertebral Junction

Home Spine Treatments Surgery of the Craniovertebral Junction
Senior Neurosurgeon & Spine Specialist
Dr. Dilip S. Kiyawat, Leading Spine & Neurosurgeon in the Field of SURGERY OF THE CRANIOVERTEBRAL JUNCTION

SURGERY OF THE CRANIOVERTEBRAL JUNCTION

Craniovertebral injuries refer to trauma or damage involving the junction between the skull (cranium) and the vertebral column, particularly the upper cervical spine. This region is crucial for supporting and facilitating head movement. Injuries can result from various causes, including accidents, falls, or sports injuries. The most vulnerable junction is the atlanto-occipital joint (connecting the skull and the first cervical vertebra) and the atlantoaxial joint (between the first and second cervical vertebrae).

Such injuries can lead to fractures, dislocations, or ligamentous damage, potentially impacting the spinal cord and surrounding structures. Depending on the severity, treatment may involve immobilization with a cervical collar, traction, or surgical intervention to stabilize and address the specific injury. Early diagnosis and appropriate management are crucial for preventing complications and optimizing outcomes.

atlanto axial dislocation seen on ct scan

High-complexity upper cervical realignment, cervicomedullary junction decompression, and posterior instrumented stabilization

Causes

The commonest cause of CVJ Injuries is fall or vehicular accident

Symptoms

Persistent neck pain, tingling, weakness and heaviness in the limbs develop in advance stages.

Treatment

Consists of immobilization of neck with a collar. Surgical intervension is required in some cases

Rehabilitation

Physiotherapy & Occupational Therapy are required after surgical stabilization

Diagnostic Scans & Surgical Outcomes

SURGERY OF THE CRANIOVERTEBRAL JUNCTION

Authentic radiological records and operative outcome documentation from Dr. Dilip Kiyawat's complex craniovertebral cases:

atlanto axial dislocation ct scan Zoom
Computed Tomography (CT)

atlanto axial dislocation ct scan

Detailed bone reconstruction CT scan clearly depicting the traumatic dislocation at the atlanto-axial (C1-C2) junction with canal narrowing at the cranial base.

atlanto axial dislocation mri scan Zoom
Sagittal MRI Scan

atlanto axial dislocation mri scan

Sagittal MRI examination demonstrating significant odontoid process displacement backward into the high cervical canal, exerting direct compression upon the medulla and spinal cord.

Postoperative correction Zoom
Post-Operative Outcome

Postoperative correction

Postoperative imaging confirming excellent anatomical realignment, reduction of the atlanto-axial dislocation, and stable instrumented fixation, relieving brainstem and upper cord distress.

For consultation and appointment booking, you can reach Dr. Dilip Kiyawat at

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