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Atlantoaxial joint distraction as a treatment for basilar invagination: A report of an experience with 11 cases

A variety of methods have been described to treat basilar invagination. We had classified basilar invagination into two groups. [1],[2] In Group A basilar invagination, there was a "fixed" atlantoaxial dislocation and the tip of the odontoid process "invaginated" into the foramen magnum [3] and was above the Chamberlain line, [4] McRae line of foramen magnum [5] and Wackenheim's clival line, [6] whereas in Group B cases, the entire complex of clivus, basiocciput and the craniovertebral junction was rostrally located and the tip of the odontoid process was above the Chamberlain's line but below the McRae's and the Wackenheim's lines. In this group, there was no atlantoaxial dislocation.

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