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The craniovertebral junction area and the role of the ligaments and membranes.
- Source :
-
Neurosurgery [Neurosurgery] 2011 Feb; Vol. 68 (2), pp. 291-301. - Publication Year :
- 2011
-
Abstract
- Traumatic injuries of the craniovertebral junction (CVJ) area are common and frequently the outcome of motor vehicle accidents, falls, and diving accidents. To define and characterize CVJ traumatic injuries, some international classifications are currently in use, and they are thought and focused on junction bone fracture. However, recent data point out a major important role of the CVJ ligaments and membranes in traumatic injuries with a secondary function of the osseous structures. Emphasizing the correct role of the ligaments and membranes is extremely important for determining appropriate medical or surgical planning for patients and also to design new CVJ injury classifications. We reviewed every recent major publication on the ligaments and membranes of the CVJ area. We divided the information into sections concerning anatomy, embryology, biomechanics, trauma, and CVJ bone fractures. A role of the ligaments and membranes in the traumatic injuries of the CVJ area has often been recognized; but only recently, with the increase in the knowledge of the anatomic and biomechanical junction area, supported by neuroradiological tools (magnetic resonance imaging) and a more detailed traumatic injuries assessment, has the role of the ligaments and membranes been highlighted. Ligaments and membranes have a pivotal role in each junctional ability and are the key to orienting any medical or surgical indications in this unique area of the spine.
- Subjects :
- Atlanto-Occipital Joint injuries
Atlanto-Occipital Joint surgery
Connective Tissue anatomy & histology
Connective Tissue injuries
Connective Tissue surgery
Humans
Ligaments, Articular injuries
Ligaments, Articular surgery
Spinal Fractures pathology
Spinal Fractures surgery
Atlanto-Occipital Joint anatomy & histology
Ligaments, Articular anatomy & histology
Subjects
Details
- Language :
- English
- ISSN :
- 1524-4040
- Volume :
- 68
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 21135738
- Full Text :
- https://doi.org/10.1227/NEU.0b013e3182011262