Clinical evaluation methods for craniovertebral junction abnormalities
10.3760/cma.j.cn112139-20230717-00013
- VernacularTitle:颅颈交界区畸形的临床评价方法
- Author:
Jialu WANG
1
;
Boyan ZHANG
;
Maoyang QI
;
Hongfeng MENG
;
Tianyu JIN
;
Zan CHEN
;
Wanru DUAN
Author Information
1. 首都医科大学宣武医院神经外科 中国国际神经科学研究所脊柱中心，北京 100032
- Keywords:
Atlanto-occipital joint;
Congenital abnormalities;
Craniovertebral junction malformation;
Signs and symptoms;
Evaluation method;
Review
- From:
Chinese Journal of Surgery
2024;62(3):260-264
- CountryChina
- Language:Chinese
-
Abstract:
Craniovertebral junction malformation is a congenital malformation located in the foramen magnum and upper cervical spine, including bone and nerve malformation, resulting in motor and sensory disorders, cerebellar and lower cranial nerves, etc. The evaluation methods of clinical symptoms and efficacy of craniovertebral junction malformation are important for the surgical indications and effects, mainly including the evaluation of clinical symptoms and the quality of life. At present, the commonly used methods in clinical work and literature are the Japanese orthopaedic association scores, visual analogue scales, 36-item short-form health survey, etc. Most of these clinical evaluations are not aimed at craniovertebral junction diseases but focus on the description of a certain type of clinical symptoms. Chicago Chiari outcome scale and syringomyelia outcome scale of Xuanwu hospital are dedicated to Craniovertebral junction malformation, but more clinical studies are needed to prove their effectiveness. Based on the literature reports, this article reviewed the previous clinical evaluation methods of craniovertebral junction malformation and discusses their applications and limitations.
