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Craniovertebral Junction Spine Surgery

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Craniovertebral Junction Spine Surgery

CVJ abnormalities can be congenital (present at birth) or acquired due to trauma, infections, or degenerative changes. These conditions can cause severe pain, restricted movement, neurological deficits, and even life-threatening complications if left untreated.

Two common CVJ disorders are:

  • Basilar Invagination: A condition where the upper part of the spine pushes into the skull, compressing the brainstem and spinal cord.
  • Atlanto-Axial Dislocation (AAD): A condition where the first (atlas) and second (axis) cervical vertebrae become misaligned, leading to spinal cord compression and instability.

Causes

CVJ abnormalities can be caused by various factors, including:

  • Congenital malformations (e.g., Chiari malformation, Klippel-Feil syndrome)
  • Traumatic injuries affecting the cervical spine
  • Rheumatoid arthritis leading to joint instability
  • Infections like tuberculosis affecting the spine
  • Degenerative conditions that weaken the vertebrae

Early detection is crucial to prevent severe neurological damage.

Symptoms

The symptoms of CVJ disorders depend on the severity of the condition and spinal cord involvement. Common signs include:

  • Chronic neck pain and stiffness
  • Difficulty in balancing and walking
  • Numbness or weakness in limbs
  • Dizziness and headaches
  • Difficulty swallowing (dysphagia)
  • Breathing difficulties in severe cases

Treatments

Dr. Shradha Maheshwari specializes in advanced Craniovertebral Junction Spine Surgery, ensuring precise correction and stabilization. Treatment options include:

  • Conservative Management: Mild cases may be managed with medications, neck braces, and physiotherapy.
  • Surgical Decompression: Relieves pressure on the brainstem and spinal cord by removing bone structures causing compression.
  • Spinal Fusion & Fixation: Uses screws, rods, or bone grafts to stabilize the cervical spine and restore alignment.
  • Minimally Invasive Techniques: Advanced procedures reduce recovery time, blood loss, and post-surgical complications.

Prevention & Risk Reduction

While brain tumors cannot always be prevented, certain lifestyle habits can help lower the risk:

  • Avoid exposure to harmful chemicals and radiation
  • Follow a healthy diet rich in antioxidants and essential nutrients
  • Maintain an active lifestyle to support overall brain health
  • Manage stress levels and get adequate sleep
  • Go for regular check-ups and consult a doctor if symptoms appear
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