Abstract
This technique provides good anterior exposure of C1 and C2 on the midline, and the surgical morbidity is low. The main disadvantage is the necessity of working through an unsterile area, which poses an increased risk of infection when incision of the dura is required. The approach is particularly suited for exposure of the dens (Verbiest 1961, 1977), dens fractures, and basilar invagination.
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References
Brattström H, Einer A, Granholm L (1973) Transoral surgery for myelopathy caused by rheumatoid arthritis of the cervical spine. Ann Rheum Dis 32:578–581.
Fang HSY, Ong GB (1962) Direct anterior approach to the upper cervical spine. J Bone Joint Surgery 44:1588–1604.
Gros C, Frerebeau Ph, Privat JM, Bazin M, Perez-Dominguez E (1974) Osteosynthese du rachis sons-occipital par plaques occipito-cervicales vissees. Montpellier-Chirurgical 20:269–274.
Gros C, Privat JM, Frerebeau Ph, Bonnel F, Bazin VM, Benezech J (1975) Arthrodese du rachis spus-occipital par plaque occipito-cervicale vissee. Neurochirurgie (Paris) 21:231–238.
Robinson RS, Lee H, Riley Jr (1975) Techniques of exposure and fusion of the cervical spine. Clin Orthop Rel Res 109:78–84.
Roosen K, Grote W, Trauschel A (1982) Posterior atlanto-axial fusion. A new compression clamp for laminar osteosynthesis. Arch Orthop Traumat Surg 100:27–31.
Roosen K, Grote W, Trauschel A (1983) Modern treatment of the symptomatic os odontoideum. Neurosurg Rev 6:223–229.
Roosen K, Rauhut F, Maksoud M (1984) HWS-Verletzungen im Kindesalter. Neurochirurgia 27:1–5.
Schürmann K (1979) Atlanto-axial dislocation in rheumatoid arthritis with cervical cord compression. Arch Neurosurgery 7:151–159.
Sherk HH (1975) Lesions of the Atlas and Axis. Clin Orthop Rel Res 109:33–41.
Stein BM, Leeds NE, Troveres IM, Pool JL (1963) Meningeomas of the Foramen magnum. J Neurosurg 20:740–751.
Trentz O, Samii M (1982) Various techniques for the stabilisation of the occipito-cervical junction. Course on the surgery of the posterior skull base, March 17-20, Hannover.
Trentz O, Flory P, Bühren V (1984) Verschiedene Techniken der occipito-cervikalen Fusion. Langenbeck Arch Chirurg 364:347–350.
Verbiest H (1961) Anterior operative approach in cases of spinal cord compression by old irreducible displacement or fresh fracture of cervical spine. J Neurosurg 19:389–400.
Verbiest H (1969) Anterolateral operations for fractures and dislocations in the middle and lower parts of the cervical spine. J Bone Joint Surgery 51 a:1489–1530.
Verbiest H (1977) Lesions of the cervical spine: A critical review. International Congress Series No. 433 Neurological Surgery. Proceedings of the Sixth International Congress of Neurological Surgery Sao Paulo. Excerpta Medica Amsterdam Oxford.
Wayne O, Robinson RA (1957) Surgical approaches to the vertebral bodies in the cervical and lumbal regions. J Bone Joint Surgery 39:631–644.
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© 1989 Springer-Verlag Berlin Heidelberg
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Samii, M., Draf, W., Lang, J. (1989). Operative Technique. In: Surgery of the Skull Base. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73061-0_38
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DOI: https://doi.org/10.1007/978-3-642-73061-0_38
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