Surgery of the Craniovertebral Junction by Nicholas C. Bambakidis, Curtis A. Dickman, Robert F.

By Nicholas C. Bambakidis, Curtis A. Dickman, Robert F. Spetzler, Volker K.H. Sonntag

The unique and definitive reference on surgical procedure of the craniovertebral junction, now in an up-to-date moment version. The craniovertebral junction, with an important variety of pathologies and anatomical complexities, is still a difficult region for surgeons. This re-creation of surgical procedure of the Craniovertebral Junction specializes in surgical selection making and technological advances within the remedy modalities for Read more...

summary: the unique and definitive reference on surgical procedure of the craniovertebral junction, now in an up to date moment variation. The craniovertebral junction, with an important variety of pathologies and anatomical complexities, remains to be a tough sector for surgeons. This re-creation of surgical procedure of the Craniovertebral Junction specializes in surgical selection making and technological advances within the therapy modalities for this area. Written and edited via senior surgeons at collage Hospitals Case clinical heart in Cleveland, Ohio, and the world-renowne

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Surgery of the Craniovertebral Junction

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The greatest advantage of the anterior approach is the direct route to the lesion, and the major disadvantages are the frequency of cerebrospinal fluid (CSF) leaks, pseudomeningocele, and meningitis following the exposure of intradural lesions by this approach. The transoral route through the mouth and the posterior pharyngeal wall, referred to as the buccopharyngeal approach, is the anterior approach most commonly selected (Fig. 8). The basic transoral approach may be modified to include a transpalatine approach in which the soft palate or both the soft and hard palates are opened and the labiomandibular or labioglossomandibular approach is used, in which the lip, mandible, and possibly the tongue and floor of the mouth are split to increase the exposure.

The most rostral medullary rootlets are functionally inferior vagal rootlets, as they arise from the vagal nuclei. The lower medullary rootlets join the spinal portion of the nerve. The spinal contribution arises as a series of rootlets situated midway between the ventral and dorsal rootlets. 0 mm, which ascends through the foramen magnum between the dentate ligament and the dorsal roots. 3/4/12 1:20:12 AM 22 Foundations for Surgical Treatment A B Fig. 5 Anterior views. (A) The structures anterior to the prevertebral muscles have been removed.

The anterior atlanto-occipital membrane extends from the anterior edge of the foramen magnum to the A B Fig. 2 Atlas and axis. The atlas: (A) superior and (B) lateral views. The atlas consists of two thick lateral masses (Lat. Mass), which are connected in front by a short anterior arch (Ant. Arch) and posteriorly by a longer posterior arch (Post. Arch). The medial aspect of each lateral mass has a small tubercle for the attachment of the transverse ligament (Trans. ) of the atlas. The transverse foramina (Trans.

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