© 2019

New Trends in Craniovertebral Junction Surgery

Experimental and Clinical Updates for a New State of Art

  • Massimiliano Visocchi


  • Provides an update on the classical transoral and transnasal microsurgery

  • Presents endoscopic techniques, neuronavigation and neuromonitoring

  • Includes Cadaver Lab organization for surgical training


Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 125)

Table of contents

  1. Front Matter
    Pages i-x
  2. Editorial

    1. Front Matter
      Pages 1-1
    2. Massimiliano Visocchi
      Pages 3-8
  3. Anatomy

    1. Front Matter
      Pages 9-9
    2. Francesco Signorelli, Vittorio Stumpo, Antonio Oliva, Vincenzo Lorenzo Pascali, Alessandro Olivi, Massimiliano Visocchi
      Pages 13-15
    3. Giuseppe Roberto Giammalva, Domenico Gerardo Iacopino, Francesca Graziano, Antonella Giugno, Carlo Gulì, Luigi Basile et al.
      Pages 17-23
    4. Paolo Pacca, Valentina Tardivo, Giancarlo Pecorari, Diego Garbossa, Alessandro Ducati, Francesco Zenga
      Pages 25-36
    5. Francesco Doglietto, Francesco Belotti, Jimmy Qiu, Elena Roca, Ivan Radovanovic, Anne Agur et al.
      Pages 37-44
    6. Oreste de Divitiis, Alfredo Conti, Teresa Somma, Flavio Angileri, Paolo Cappabianca
      Pages 45-50
    7. Francesco Signorelli, Alessandro Costantini, Vittorio Stumpo, Giulio Conforti, Alessandro Olivi, Massimiliano Visocchi
      Pages 51-55
  4. Pathophysiology

    1. Front Matter
      Pages 57-57
    2. Angelo Ferrante, Francesco Ciccia, Giuseppe Roberto Giammalva, Domenico Gerardo Iacopino, Massimiliano Visocchi, Federica Macaluso et al.
      Pages 79-86
  5. Chiari

    1. Front Matter
      Pages 87-87
    2. Cristina Mancarella, Roberto Delfini, Alessandro Landi
      Pages 89-95
    3. Pasquale Ciappetta, Francesco Signorelli, Massimiliano Visocchi
      Pages 97-99

About this book


This issue of Acta Neurochirururgica presents the latest surgical and experimental approaches to the craniovertebral junction (CVJ). It discusses anterior midline (transoral transnasal), posterior (CVJ craniectomy laminectomy, laminotomy, instrumentation and fusion), posterolateral (far lateral) and anterolateral (extreme lateral) approaches using state-of-the-art supporting tools. It especially highlights open surgery, microsurgical techniques, neuronavigation, the O-arm system, intraoperative MR, neuromonitoring and endoscopy.

Endoscopy represents a useful complement to the standard microsurgical approach to the anterior CVJ: it can be used transnasally, transorally and transcervically; and it provides information for better decompression without the need for soft palate splitting, hard palate resection, or extended maxillotomy. While neuronavigation allows improved orientation in the surgical field, intraoperative fluoroscopy helps to recognize residual compression. Under normal anatomic conditions, there are virtually no surgical limitations to endoscopically assisted CVJ and this issue provides valuable information for the new generation of surgeons involved in this complex and challenging field of neurosurgery.


Cranio Vertebral Junction (CVJ) Transnasal Approach Transoral Approach Far lateral Approach Extreme Lateral Approach Endoscopic Approach

Editors and affiliations

  • Massimiliano Visocchi
    • 1
  1. 1.Institute of NeurosurgeryCatholic University of Rome, Institute of NeurosurgeryRomeItaly

About the editors

Massimiliano Visocchi is Assistant and Associate Professor in the Neurosurgical Department of the Catholic University of Rome. He is member of many neurosurgical societies and he is also involved in the board of several societies. Prof. Visocchi is the President elect of the International Society of Reconstructive Neurosurgery. He focuses on general  neurosurgery and particularly in Complex Spine Neurosurgery, Central Nervous System Stimulation, Haemodynamic monitoring in neurosurgical fields and pain treatment; as well as Neurotraumatology. Prof. Visocchi has produced over 400 scientific publications (more than 200 extensive papers  and book chapters in national and international scientific journals, books, congress brochures and 200 abstracts in congress brochures) and has given invited lectures in national and international congresses and courses.

Bibliographic information

  • Book Title New Trends in Craniovertebral Junction Surgery
  • Book Subtitle Experimental and Clinical Updates for a New State of Art
  • Editors Massimiliano Visocchi
  • Series Title Acta Neurochirurgica Supplement
  • Series Abbreviated Title Acta Neurochirurgica Supplement
  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-62514-0
  • eBook ISBN 978-3-319-62515-7
  • Series ISSN 0065-1419
  • Series E-ISSN 2197-8395
  • Edition Number 1
  • Number of Pages X, 398
  • Number of Illustrations 74 b/w illustrations, 55 illustrations in colour
  • Topics Neurosurgery
    Surgical Orthopedics
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology