The High Cervical Anterolateral Retropharyngeal Approach
| Autor: | Nabeel S. Alshafai, Vimal Raj Nitish Gunness |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Decompression Soft tissue medicine.disease Neurovascular bundle 030218 nuclear medicine & medical imaging 03 medical and health sciences Dissection 0302 clinical medicine medicine.anatomical_structure Clivus medicine Radiology Abscess Clivus Chordoma business Spondylitis 030217 neurology & neurosurgery |
| Zdroj: | Acta Neurochirurgica Supplement ISBN: 9783319625140 |
| DOI: | 10.1007/978-3-319-62515-7_21 |
| Popis: | The first high cervical anterolateral retropharyngeal (HCALR) approach was reported by Stevenson et al. for a clivus chordoma in 1966. Anterior approaches to the spine have often been developed in response to problems presented by tuberculous spondylitis. This approach is indicated in anterior high cervical spine cases such as tumour resection, abscess drainage, atlantoaxial subluxation; decompression and stabilization. To our knowledge, only 21 papers in the literature have mentioned this approach. Its main advantage over posterior approaches is easy positioning and minimal need for soft tissue dissection. The HCALR approach provides wide exposure (of the anterior upper cervical spine, lower clivus and brainstem region) and feasibility for instrumentation. The limited space in which important neurovascular and visceral structures course and overlap contributes to the complexity of the anatomy. Navigating this intricate anatomy is essential for the safety of this approach and has been a drawback for utilization of the retropharyngeal corridor. This approach is one of the safest and most effective methods available to access the craniocervical junction. The benefits clearly outweigh the risks and complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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