New Trends in Craniovertebral Junction Surgery

Experimental and Clinical Updates for a New State of Art

  • Massimiliano Visocchi

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
    4. Chenlong Liao, Massimiliano Visocchi, Wenchuan Zhang, Shiting Li, Min Yang, Wenxiang Zhong et al.
      Pages 111-118
    5. Luca Massimi, Paolo Frassanito, Daniela Chieffo, Gianpiero Tamburrini, Massimo Caldarelli
      Pages 119-124
    6. Alessandro Villa, Alessia Imperato, Rosario Maugeri, Massimiliano Visocchi, Domenico Gerardo Iacopino, Natale Francaviglia
      Pages 125-131
    7. Giovanni Raffa, Stefano Maria Priola, Rosaria Viola Abbritti, Antonino Scibilia, Lucia Merlo, Antonino Germanò
      Pages 133-138
  6. Surgery: Decompression—Lateral Approaches

    1. Front Matter
      Pages 145-145
    2. Nabeel S. Alshafai, V. R. N. Gunness
      Pages 147-149
    3. Jan Frederick Cornelius, Raoul Pop, Marco Fricia, Bernard George, Salvatore Chibbaro
      Pages 151-158
    4. Nabeel S. Alshafai, Tomasz Klepinowski
      Pages 159-164
    5. Francesco Signorelli, Marco Pace, Vittorio Stumpo, Pasquale Ciappetta, Alessandro Costantini, Alessandro Olivi et al.
      Pages 165-169
    6. Nabeel S. Alshafai, Tomasz Klepinowski
      Pages 171-174
    7. Francesco Signorelli, Walter Pisciotta, Vittorio Stumpo, Pasquale Ciappetta, Alessandro Olivi, Massimiliano Visocchi
      Pages 175-178
  7. Direct Approaches

    1. Front Matter
      Pages 179-179
    2. Massimiliano Visocchi, Francesco Signorelli, Chenlong Liao, Mario Rigante, Pasquale Ciappetta, Giuseppe Barbagallo et al.
      Pages 181-186
    3. Salvatore Chibbaro, Mario Ganau, Helene Cebula, Beniamino Nannavecchia, Julien Todeschi, Antonio Romano et al.
      Pages 187-195
    4. Rosaria Viola Abbritti, Felice Esposito, Filippo Flavio Angileri, Fabio Cacciola, Daniele Marino, Giuseppe La Fata et al.
      Pages 197-207
    5. Davide Locatelli, Apostolos Karligkiotis, Mario Turri-Zanoni, Frank Rikki Canevari, Fabio Pozzi, Paolo Castelnuovo
      Pages 209-224
    6. Massimiliano Visocchi, Francesco Signorelli, Chenlong Liao, Mario Rigante, Gaetano Paludetti, Giuseppe Barbagallo et al.
      Pages 225-228
    7. Matteo Vitali, Frank Rikki Canevari, Andrea Cattalani, Teresa Somma, Vincenzo Maria Grasso, Andrea Barbanera
      Pages 229-233
    8. Paolo Perrini, Nicola Benedetto, Francesco Cacciola, Pasquale Gallina, Nicola Di Lorenzo
      Pages 235-240
  8. CVJ Instrumentation and Fusion

    1. Front Matter
      Pages 241-241
    2. Angelo Lavano, Giusy Guzzi, Carmelino Angelo Stroscio, Attilio Della Torre, Donatella Gabriele, Domenico Chirchiglia et al.
      Pages 243-245
    3. Nabeel S. Ashafai, Massimiliano Visocchi, Norbert Wąsik
      Pages 247-252
    4. Massimiliano Visocchi, Francesco Signorelli, Alessandro Olivi, Massimo Caldarelli
      Pages 253-258
    5. Nabeel S. Alshafai, Agnieszka Kramarz, Minou Behboudi
      Pages 265-271
    6. Francesco Cacciola, Bronek Boszczyk, Paolo Perrini, Pasquale Gallina, Nicola Di Lorenzo
      Pages 273-277
    7. Corrado Iaccarino, Ormitti Francesca, Spennato Piero, Rubini Monica, Rapanà Armando, Pasquale de Bonis et al.
      Pages 279-288
    8. Corey T. Walker, Volker K. H. Sonntag
      Pages 289-294
  9. CVJ Trauma

    1. Front Matter
      Pages 295-295

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

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-62514-0
  • Online ISBN 978-3-319-62515-7
  • Series Print ISSN 0065-1419
  • Series Online ISSN 2197-8395
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology