Posterolateral Approaches to the Craniovertebral Junction
| Autor: | Youssef R Karam, Vincent C. Traynelis, Arnold H. Menezes |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Neurosurgical Procedures Far lateral Postoperative Complications Clivus Humans Medicine Foramen Magnum Cervical Atlas Cranial fossa Skull Base Foramen magnum Surgical approach business.industry Laminectomy Cervical spine Surgery Atlanto-Occipital Joint medicine.anatomical_structure Cranial Fossa Posterior Occipital Bone Dural closure Neurology (clinical) business Posterolateral approach Craniotomy |
| Zdroj: | Neurosurgery. 66:A135-A140 |
| ISSN: | 0148-396X |
| DOI: | 10.1227/01.neu.0000365828.03949.d0 |
| Popis: | Objective The indications and operative technique for a number of posterolateral approaches to the craniovertebral junction (CVJ) are reviewed. Methods The literature addressing posterolateral approaches to the CVJ is reviewed, and illustrative cases are presented. Results The far lateral approach and its variants, including the transcondylar, supracondylar, and paracondylar approaches, are an effective means of addressing intradural anterior and anterolateral CVJ lesions. These approaches provide exposure of the lower third of the clivus, the foramen magnum, and the upper cervical spine; do not cross contaminated regions; and enable a watertight dural closure to be performed. They are associated with minimal morbidity and usually do not significantly decrease the stability of the CVJ. Conclusion All surgeons treating lesions of the CVJ should be familiar with the posterolateral approach and its modifications. |
| Databáze: | OpenAIRE |
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