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New Trends in Craniovertebral Junction Surgery

Experimental and Clinical Updates for a New State of Art

  • Book
  • © 2019

Overview

Editors:
  1. Massimiliano Visocchi

    1. Institute of Neurosurgery, Catholic University of Rome, Institute of Neurosurgery, Rome, Italy

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  • 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 book series: Acta Neurochirurgica Supplement (NEUROCHIRURGICA, volume 125)

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Table of contents (54 chapters)

  1. Front Matter

    Pages i-x
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  2. Editorial

    1. Front Matter

      Pages 1-1
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    2. Why the Craniovertebral Junction?

      • Massimiliano Visocchi
      Pages 3-8

  3. Anatomy

    1. Front Matter

      Pages 9-9
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    2. The Craniovertebral Junction and Laboratory Experience: The Italian Paradox

      • Francesco Signorelli
      Pages 11-12

    3. Mastering Craniovertebral Junction Surgical Approaches: The Dissection Laboratory Experience at the Catholic University of Rome

      • Francesco Signorelli, Vittorio Stumpo, Antonio Oliva, Vincenzo Lorenzo Pascali, Alessandro Olivi, Massimiliano Visocchi
      Pages 13-15

    4. Surgical Highways to the Craniovertebral Junction: Is It Time for a Reappraisal?

      • Giuseppe Roberto Giammalva, Domenico Gerardo Iacopino, Francesca Graziano, Antonella Giugno, Carlo Gulì, Luigi Basile et al.
      Pages 17-23

    5. The Endoscopic Endonasal Approach to Craniovertebral Junction Pathologies: Surgical Skills and Anatomical Study

      • Paolo Pacca, Valentina Tardivo, Giancarlo Pecorari, Diego Garbossa, Alessandro Ducati, Francesco Zenga
      Pages 25-36

    6. Endonasal and Transoral Approaches to the Craniovertebral Junction: A Quantitative Anatomical Study

      • Francesco Doglietto, Francesco Belotti, Jimmy Qiu, Elena Roca, Ivan Radovanovic, Anne Agur et al.
      Pages 37-44

    7. Ventral Brainstem Anatomy: An Endoscopic Transoral Perspective

      • Oreste de Divitiis, Alfredo Conti, Teresa Somma, Flavio Angileri, Paolo Cappabianca
      Pages 45-50

    8. Transoral Approach to the Craniovertebral Junction: A Neuronavigated Cadaver Study

      • Francesco Signorelli, Alessandro Costantini, Vittorio Stumpo, Giulio Conforti, Alessandro Olivi, Massimiliano Visocchi
      Pages 51-55

  4. Pathophysiology

    1. Front Matter

      Pages 57-57
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    2. Atlantoaxial Instability: Evolving Understanding

      • Atul Goel
      Pages 59-62

    3. Ossification of the Posterior Longitudinal Ligament: Analysis of the Role of Craniovertebral and Spinal Instability

      • Atul Goel
      Pages 63-70

    4. Role of Subaxial Spinal and Atlantoaxial Instability in Multisegmental Cervical Spondylotic Myelopathy

      • Atul Goel
      Pages 71-78

    5. The Craniovertebral Junction in Rheumatoid Arthritis: State of the Art

      • 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
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    2. Chiari Malformations

      • Cristina Mancarella, Roberto Delfini, Alessandro Landi
      Pages 89-95

    3. The Role of Arachnoid Veils in Chiari Malformation Associated with Syringomyelia

      • Pasquale Ciappetta, Francesco Signorelli, Massimiliano Visocchi
      Pages 97-99

    4. Atlantoaxial Fixation for Treatment of Chiari Formation and Syringomyelia with No Craniovertebral Bone Anomaly: Report of an Experience with 57 Cases

      • Atul Goel, Amol Kaswa, Abhidha Shah
      Pages 101-110
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Keywords

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.

Editors and Affiliations

  • Institute of Neurosurgery, Catholic University of Rome, Institute of Neurosurgery, Rome, Italy

    Massimiliano Visocchi

About the editor

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

  • DOI: https://doi.org/10.1007/978-3-319-62515-7

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing AG, part of Springer Nature 2019

  • Hardcover ISBN: 978-3-319-62514-0Published: 25 January 2019

  • eBook ISBN: 978-3-319-62515-7Published: 05 January 2019

  • 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, Neuroradiology

  • Industry Sectors: Biotechnology, Finance, Business & Banking, Health & Hospitals, Pharma

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