IMPROVEMENT OF THE SURGICAL APPROACH TO THE TREATMENT OF CRANIOVERTEBRAL JUNCTION ANOMALIES ASSOCIATED WITH SPINAL MALFORMATIONS (CLINICAL EXPERIENCE)

Arzikulov, Sh.T., Ismailova, R.O., Jabborov, N.I.

Tibbiyot, ta’lim va innovatsion tadqiqotlar · 2026-yil

Annotatsiya

Craniovertebral junction (CVJ) anomalies are complex and rare disorders that require precise diagnostic evaluation and individualized treatment strategies. We report a rare case of Arnold–Chiari II malformation with basilar invagination, secondary hydrocephalus, and closed spinal dysraphism in a pediatric patient. A 12-year-old child presented with severe headaches, motor deficits, and signs of increased intracranial pressure. Imaging revealed Chiari II malformation, basilar invagination, and compensated tethered cord syndrome. Neurophysiological studies indicated compensated spinal dysfunction. The patient underwent posterior C1–C2 fixation with odontoid distraction, resulting in clinical and radiological improvement. This case highlights the importance of tailored neurosurgical approaches in the management of complex CVJ anomalies. Ventral decompression achieved through posterior distraction may obviate the need for additional lumbar intervention, emphasizing the importance of accurate neuroimaging and functional assessment in surgical planning.

Maqola ma’lumotlari
MualliflarArzikulov, Sh.T., Ismailova, R.O., Jabborov, N.I.
JurnalTibbiyot, ta’lim va innovatsion tadqiqotlar
Nashr sanasi2026-08-24
Jild2
Son8
Betlar18-24
TilIngliz
DOI10.5281/zenodo.22071846

DOI: 10.5281/zenodo.22071846 · Maqolaning asl sahifasi

Kalit so‘zlar

Chiari II malformation, basilar invagination, craniovertebral junction, tethered cord syndrome, pediatric neurosurgery, posterior fixation.

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