Document Detail


Posterolateral approaches to the craniovertebral junction.
MedLine Citation:
PMID:  20173516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Youssef R Karam; Arnold H Menezes; Vincent C Traynelis
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurosurgery     Volume:  66     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  135-40     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
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MeSH Terms
Descriptor/Qualifier:
Atlanto-Occipital Joint / anatomy & histology,  surgery*
Cervical Atlas / anatomy & histology,  surgery*
Cranial Fossa, Posterior / anatomy & histology,  surgery
Craniotomy / instrumentation,  methods
Foramen Magnum / anatomy & histology,  surgery
Humans
Laminectomy / instrumentation,  methods
Neurosurgical Procedures / instrumentation,  methods*
Occipital Bone / anatomy & histology,  surgery*
Postoperative Complications / etiology,  prevention & control
Skull Base / anatomy & histology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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