Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2018  |  Volume : 9  |  Issue : 3  |  Page : 212--215

Basilar impression in osteogenesis imperfecta treated with staged halo traction and posterior decompression with short-segment fusion


Mutlu Cobanoglu1, Jennifer M Bauer2, Jeffrey W Campbell3, Suken A Shah5 
1 Department of Orthopaedics, Nemours/Alfred I. Dupont Hospital for Children, Wilmington, Delaware, USA; Department of Orthopedics and Traumatology, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey
2 Department of Orthopaedics, University of Washington, Seattle Children's Hospital, Seattle WA, USA
3 Department of Neurosurgery, Nemours/Alfred I. Dupont Hospital for Children, Wilmington, Delaware, USA

Correspondence Address:
Dr. Suken A Shah
Department of Orthopaedics, Nemours/Alfred I. Dupont Hospital for Children, 1600, Rockland Rd, Wilmington, DE 19803
USA

Basilar impression is a cranial base abnormality associated with osteogenesis imperfecta (OI) with serious neurologic implications but controversial treatment options. Combined anterior and posterior decompression with long-segment posterior fusion is often recommended. We report a patient with OI (Sillence type III) with basilar impression treated with halo traction followed by posterior surgery. The patient was a 12-year-old female with a presentation of hiccups and change in upper extremity function. Diagnostic imaging revealed syringomyelia, compensated hydrocephalus, basilar impression, and Chiari type I malformation. The patient was treated with halo traction followed by posterior decompression fusion from the occipital bone to C2. Bone fusion and improved syrinx were evident on images during the 5 years of follow-up. Five years after surgery, syrinx recurred and the fourth ventricular catheter was revised. The treatment with halo traction followed by posterior-only surgery of basilar impression associated with OI resulted in a good postoperative outcome.


How to cite this article:
Cobanoglu M, Bauer JM, Campbell JW, Shah SA. Basilar impression in osteogenesis imperfecta treated with staged halo traction and posterior decompression with short-segment fusion.J Craniovert Jun Spine 2018;9:212-215


How to cite this URL:
Cobanoglu M, Bauer JM, Campbell JW, Shah SA. Basilar impression in osteogenesis imperfecta treated with staged halo traction and posterior decompression with short-segment fusion. J Craniovert Jun Spine [serial online] 2018 [cited 2020 Nov 24 ];9:212-215
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;volume=9;issue=3;spage=212;epage=215;aulast=Cobanoglu;type=0