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Purpose Retro-odontoid synovial cysts are rare and attributable to degenerative changes in the atlantoaxial joints. An anterolateral approach facilitates access to lesions located anterior to the craniocervical junction without harming the atlantoaxial joints, and can also treat small lesions in the ventral mid-portion of the craniocervical junction without compression of spinal cord. Methods We...
A 74-year-old man showed a spastic gait and myelopathy in both the hands. Computed tomography revealed an OPLL on C3 and C4, bony spurs on the dorsal side of C4–C6, and an OYL on C3 and C4. We scheduled a two-stage decompression for both the OPLL and OYL. First, we performed laminectomy on the C3–C6 segments and resected the OYL. We did not observe any dural tear or CSF leakage in the dura. The patient’s...
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