{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T19:54:42Z","timestamp":1770839682295,"version":"3.50.1"},"reference-count":28,"publisher":"Media Sphere Publishing House","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Burdenko's Journal of Neurosurgery"],"published-print":{"date-parts":[[2024,4,23]]},"abstract":"<jats:p>Objective. To analyze surgical strategy for nonspecific spondylitis of the craniovertebral region (CVR) taking into account clinical features and morphological signs of disease. Material and methods. Eight patients with nonspecific spondylitis of CVR underwent surgery (4 women and 4 men aged 31\u201475 years). Three patients had pain syndrome, 5 ones \u2014 conduction disorders. Combined interventions were performed in 5 patients with neurological disorders. Of these, 3 patients underwent transoral decompression with subsequent occipitospondylodesis. In other cases, stages of surgical treatment were reverse. Four patients underwent simultaneous interventions, 1 patient \u2014 with 7-day interval. Patients with pain syndrome underwent occipitospondylodesis. Results. In all patients, postoperative VAS score of pain syndrome decreased by 5\u20147 points (mean 5.5). Among 5 patients with conduction symptoms, regression of neurological disorders 1 year after surgery was achieved in 2 cases, and complete recovery was observed in 3 patients (Frankel E). In all cases, examination confirmed relief of inflammatory process and no compression of the spinal cord and medulla oblongata. One patient had a dehiscence of the wound edges of posterior pharyngeal wall, and another one had implant fracture in 3 years after surgery. Conclusion. Active surgical approach is reasonable for nonspecific spondylitis of CVR. Craniocervical fixation eliminates pain and risk of neurological complications following atlantoaxial instability. Conduction disorders require simultaneous transoral decompression and occipitospondylodesis in patients with nonspecific purulent craniovertebral lesions. Impaired head tilt complicates transoral stage. In this regard, it is more rational to carry out craniocervical fixation at the last stage.<\/jats:p>","DOI":"10.17116\/neiro20248803121","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T04:27:33Z","timestamp":1718598453000},"page":"21","source":"Crossref","is-referenced-by-count":2,"title":["Nonspecific craniovertebral spondylitis"],"prefix":"10.17116","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2475-6278","authenticated-orcid":false,"given":"I.Yu.","family":"Lisitsky","sequence":"first","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2202-8149","authenticated-orcid":false,"given":"A.V.","family":"Lychagin","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6381-5651","authenticated-orcid":false,"given":"A.Yu.","family":"Zarov","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6331-0290","authenticated-orcid":false,"given":"A.L.","family":"Korkunov","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0797-6383","authenticated-orcid":false,"given":"V.G.","family":"Cherepanov","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.A.","family":"Vyzankin","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1669-3935","authenticated-orcid":false,"given":"E.Yu.","family":"Tselishcheva","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6743","reference":[{"key":"key-10.17116\/neiro20248803121-1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199111000-00009"},{"key":"key-10.17116\/neiro20248803121-2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-189601000-00099"},{"key":"key-10.17116\/neiro20248803121-3","doi-asserted-by":"publisher","DOI":"10.18999\/nagjms.83.1.1"},{"key":"key-10.17116\/neiro20248803121-4","doi-asserted-by":"publisher","DOI":"10.3109\/17453673208991240"},{"key":"key-10.17116\/neiro20248803121-5","doi-asserted-by":"crossref","unstructured":"Zigler JE, Bohlman HH, Robinson RA, Riley LH, Dodge LD. 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