Transoral and Transnasal Odontoidectomy Complications: A Systematic Review and Meta-Analysis

Highlights • Thirteen studies (92 patients) used a transnasal approach. • The remaining thirteen studies (1238 patients) performed a transoral approach. • Transoral odontoidectomy exhibited 90.0% neurologic improvement and 0.9% worsening. • Transnasal odontoidectomy showed 94.0% neurologic improveme...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Clinical neurology and neurosurgery 2016-09, Vol.148, p.121-129
Hauptverfasser:	Shriver, Michael F., BS, Kshettry, Varun R., MD, Sindwani, Raj, MD, Woodard, Troy, MD, Benzel, Edward C., MD, Recinos, Pablo F., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Basilar impression Basilar invagination Bias Clinical outcomes Confidence intervals Craniovertebral junction Endonasal Endoscopic Endoscopy Humans Intraoperative Complications - etiology Mouth - surgery Natural Orifice Endoscopic Surgery - adverse effects Neurology Neurosurgery Odontoid Process - surgery Ostomy Patients Postoperative Complications - etiology Studies Systematic review Velopharyngeal insufficiency
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	Highlights • Thirteen studies (92 patients) used a transnasal approach. • The remaining thirteen studies (1238 patients) performed a transoral approach. • Transoral odontoidectomy exhibited 90.0% neurologic improvement and 0.9% worsening. • Transnasal odontoidectomy showed 94.0% neurologic improvement and 0.0% worsening. • Transoral approach had a significantly higher rate of postoperative tracheostomy
ISSN:	0303-8467 1872-6968 1872-6968
DOI:	10.1016/j.clineuro.2016.07.019