{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T19:11:36Z","timestamp":1789931496701,"version":"4.0.1"},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nBasilar invagination (BI) is a complex condition characterized by prolapse of the odontoid into the brain stem\/upper cervical cord. This lesion is often associated with Chiari malformations, and rheumatoid arthritis (RA). Treatment options for BI typically include cervical traction, an isolated anterior transoral odontoidectomy, anterior endonasal odontoidectomy, an isolated posterior fusion, or combined anterior\/ posterior surgical approach.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 45-year-old female with a Chiari I malformation and RA underwent a combined posterior C0-C5 posterior decompression\/fusion, followed by an anterior odontoidectomy (i.e. endoscopic\/endonasal under neuronavigation). Postoperatively, the patient\u2019s symptoms and neurological signs resolved.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nBI in was successfully managed with a combined posterior C0-C5 decompression\/fusion followed by an anterior endoscopic\/endonasal odontoidectomy performed under neuronavigation.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_658_2021","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T12:22:44Z","timestamp":1633954964000},"page":"511","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A combined approach for stabilization and endoscopic\/ endonasal odontoid and clivus resection for treatment of basilar invagination"],"prefix":"10.25259","volume":"12","author":[{"given":"Lance Michael","family":"Villeneuve","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Oklahoma University Health Science Center, Oklahoma City, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoya","family":"Voronovich","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Oklahoma University Health Science Center, Oklahoma City, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Oklahoma University Health Science Center, Oklahoma City, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward T.","family":"El Rassi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Oklahoma University Health Science Center, Oklahoma City, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian F.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Oklahoma University Health Science Center, Oklahoma City, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Oklahoma University Health Science Center, Oklahoma City, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2021,10,11]]},"reference":[{"key":"10.25259\/SNI_658_2021\/ref-1","doi-asserted-by":"crossref","first-page":"1180.e7","DOI":"10.1016\/j.wneu.2015.02.007","article-title":"Basilar invagination: Case report and literature review","volume":"83","author":"Chaudhry","year":"2015","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_658_2021\/ref-2","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1055\/s-0032-1329627","article-title":"Intraoperative computed tomography guidance to confirm decompression following endoscopic endonasal approach for cervicomedullary compression","volume":"74","author":"Gande","year":"2013","journal-title":"J Neurol Surg B Skull Base"},{"key":"10.25259\/SNI_658_2021\/ref-3","doi-asserted-by":"crossref","first-page":"462","DOI":"10.14245\/ns.1938248.124","article-title":"Transoral and endoscopic endonasal odontoidectomies-surgical techniques, indications, and complications","volume":"16","author":"Joaquim","year":"2019","journal-title":"Neurospine"},{"key":"10.25259\/SNI_658_2021\/ref-4","first-page":"298","article-title":"Resolution of syringomyelia and basilar invagination after traction. Case illustration","volume":"98","author":"Joseph","year":"2003","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_658_2021\/ref-5","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/foc.2005.19.1.7","article-title":"Expanded endonasal approach: Fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa","volume":"19","author":"Kassam","year":"2005","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_658_2021\/ref-6","doi-asserted-by":"crossref","first-page":"444","DOI":"10.3171\/jns.1980.53.4.0444","article-title":"Craniocervical abnormalities. A comprehensive surgical approach","volume":"53","author":"Menezes","year":"1980","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_658_2021\/ref-7","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.clineuro.2016.07.019","article-title":"Transoral and transnasal odontoidectomy complications: A systematic review and meta-analysis","volume":"148","author":"Shriver","year":"2016","journal-title":"Clin Neurol Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-combined-approach-for-stabilization-and-endoscopic-endonasal-odontoid-and-clivus-resection-for-treatment-of-basilar-invagination\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-combined-approach-for-stabilization-and-endoscopic-endonasal-odontoid-and-clivus-resection-for-treatment-of-basilar-invagination\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T12:22:54Z","timestamp":1633954974000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-combined-approach-for-stabilization-and-endoscopic-endonasal-odontoid-and-clivus-resection-for-treatment-of-basilar-invagination\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,11]]},"references-count":7,"alternative-id":["10.25259\/SNI_658_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_658_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,11]]},"article-number":"511"}}