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Spine Surgery pp 411-416 | Cite as

Indications for Craniocervical Surgery and Anterior Resection Techniques (Endonasal, Transoral)

  • Jens GemptEmail author
Chapter

Abstract

Nowadays indication for craniocervical surgery with anterior resection techniques are rare. Pathologies of the craniocervical junction with a possible need for anterior resection techniques are basilar impression/atlantoaxial subluxation and/or retrodental pannus often described in patients with rheumatoid arthritis or other non-rheumatic degeneration of the respective joints as well as infection of the craniocervical junction or rare primary or secondary malignancies.

References and Level of Evidence (EBM)

  1. 1.
    Gempt J, Lehmberg J, Grams AE, Berends L, Meyer B, Stoffel M. Endoscopic transnasal resection of the odontoid: case series and clinical course. Eur Spine J. 2011;20(4):661–6.  https://doi.org/10.1007/s00586-010-1629-x. EBM VCrossRefGoogle Scholar
  2. 2.
    Hadley MN, Spetzler RF, Sonntag VK. The transoral approach to the superior cervical spine. A review of 53 cases of extradural cervicomedullary compression. J Neurosurg. 1989;71(1):16–23.  https://doi.org/10.3171/jns.1989.71.1.0016. EBM IVCrossRefGoogle Scholar
  3. 3.
    Jun BY. Complete reduction of retro-odontoid soft tissue mass in os odontoideum following the posterior C1-C2 tranarticular screw fixation. Spine (Phila Pa 1976). 1999;24(18):1961–4. EBM VCrossRefGoogle Scholar
  4. 4.
    Kassam AB, Snyderman C, Gardner P, Carrau R, Spiro R. The expanded endonasal approach: a fully endoscopic transnasal approach and resection of the odontoid process: technical case report. Neurosurgery. 2005;57(1 Suppl):E213; discussion E213. EBM IVCrossRefGoogle Scholar
  5. 5.
    Mendenhall SK, Sivaganesan A, Mistry A, Sivasubramaniam P, McGirt MJ, Devin CJ. Traumatic atlantooccipital dislocation: comprehensive assessment of mortality, neurologic improvement, and patient-reported outcomes at a level 1 trauma center over 15 years. Spine J. 2015;15(11):2385–95. EBM IVCrossRefGoogle Scholar
  6. 6.
    Ringel F, Reinke A, Stuer C, Meyer B, Stoffel M. Posterior C1-2 fusion with C1 lateral mass and C2 isthmic screws: accuracy of screw position, alignment and patient outcome. Acta Neurochir. 2012;154(2):305–12. EBM IVCrossRefGoogle Scholar
  7. 7.
    Spetzler RF, Hadley MN, Sonntag VK. The transoral approach to the anterior superior cervical spine. A review of 29 cases. Acta Neurochir Suppl (Wien). 1988;43:69–74. EBM IVGoogle Scholar
  8. 8.
    Van Abel KM, Mallory GW, Kasperbauer JL, et al. Transnasal odontoid resection: is there an anatomic explanation for differing swallowing outcomes? Neurosurg Focus. 2014;37(4):E16. EBM VCrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Klinikum rechts der IsarTechnische Universität MünchenMunichGermany

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