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Ask the Expert featuring Dr. Fraser C. Henderson on Craniocervical Instability: Clinical Diagnosis, Radiological Metrics, Treatment, and Outcomes Analysis.
Dr. Henderson has been studying hereditary disorders of the connective tissues with high risk of AAI for decades. Over many years, Dr. Henderson and others were able to come together and convince the medical community of the importance of deformative stretch as a cause of neurologic deficit. In this Ask the Expert, Dr. Henderson walks through his latest paper on "Craniocervical Instability in Patients with Ehlers-Danlos Syndromes: Outcomes Analysis Following Occipito-cervical Fusion".
Dr. Henderson reviews, in detail, the criteria of instability, shows examples of post-traumatic craniocervical instability, and stresses the importance of understanding the clinical picture, not just reading imaging, etc...Henderson also shares suggested imaging and measurements required for diagnosis and the reasoning for each.
Dr. Henderson also answers questions including: What are to top 5 symptoms for CCI?, Is there such thing as getting surgery too soon or late?, How does one distinguish between just strengthening the neck and receiving surgical intervention?, Who is not a good candidate for fusion?, How much follow up is necessary for those who have undergone surgery?, and many many more!
This lecture was given entirely virtually on May 9th. (2024)
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