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BL
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| Record Number
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863966
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| Title & Author
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New trends in craniovertebral junction surgery : : experimental and clinical updates for a new state of art /\ editor, Massimiliano Visocchi.
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| Publication Statement
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Cham :: Springer,, [2019]
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, ©2019
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| Series Statement
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Acta neurochirurgica. Supplement ;; volume 125
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| Page. NO
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1 online resource :: illustrations (some color)
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| ISBN
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3319625152
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: 3319625160
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: 9783319625157
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: 9783319625164
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3319625144
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9783319625140
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| Bibliographies/Indexes
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Includes bibliographical references and index.
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| Contents
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Intro; Contents; Part I: Editorial; Why the Craniovertebral Junction?; Direct Approaches; Endoscopically Assisted Endonasal Procedures; Endoscopically Assisted Transoral Procedures; Endoscopically Assisted Transcervical Procedures; The Navigated Transoral Approach; Sublaminar Instrumented Wiring Versus Lateral Mass Screw Implants; Oblique Approaches; Conclusion; References; Part II: Anatomy; The Craniovertebral Junction and Laboratory Experience: The Italian Paradox; References
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Atlantosuperior Dental Arch LineSuperior Nostril Hard Palatine Line; Coronal Plane; Inter-Eustachian Line; Assessment of Occipitocervical Alignment; Sagittal Plane; C2-C7 Cobb's Angle; C2-C7 Harrison's Angle; C7 Slope; C1-C2 Angle; Cervical Lordosis; Discussion; Conclusion; References; The Endoscopic Endonasal Approach to Craniovertebral Junction Pathologies: Surgical Skills and Anatomical Study; Introduction; Dissection; Case Illustration; Surgical Technique; Discussion; Conclusion; References
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Endonasal and Transoral Approaches to the Craniovertebral Junction: A Quantitative Anatomical StudyIntroduction; Materials and Methods; Specimens; Surgical Approaches; Quantifications; Radiological and Surgical Lines for the Endonasal Approach to the Craniovertebral Junction; Statistical Analyses; Results; Discussion; Limits of the Present Study; Conclusion; References; Ventral Brainstem Anatomy: An Endoscopic Transoral Perspective; Introduction; Endoscopic Anatomy of the Anterior Brainstem and Surrounding Structures; Methods; Results; Discussion; References
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Mastering Craniovertebral Junction Surgical Approaches: The Dissection Laboratory Experience at the Catholic University of RomeIntroduction; Methods; Laboratory Environment; Cadaver Specimens; Discussion; Conclusions; References; Surgical Highways to the Craniovertebral Junction: Is It Time for a Reappraisal?; Introduction; Materials and Methods; Results; Assessment of Craniovertebral Junction Anatomy and Surgical Approaches; Sagittal Plane; McRae's Line; Chamberlain's Line; McGregor's Line; Ranawat's Line; Modified Ranawat's Line; Wackenheim's Clivus Base Line; Redlund-Johnell Method
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Odontoid LengthClivus-Canal Angle; Occipitocervical Angle; Effective Canal Diameter; Welcher's Basal Angle; Clivodens Angle; Atlantodental Interval; Posterior Atlantodental Interval; Grabb-Oakes Method; Transcondylar Angle; Boogard's Angle; Coronal Plane; Atlanto-occipital Joint Axis Angle; Axial Plane; Paracondylar Angle; Assessment of the Ventral Craniovertebral Junction Approach; Coronal Plane; Hard Palate (Palatine) Line; Nasopalatine (Kassam's) Line; Nasopalatine Angle; Nasoaxial Line; Mandibulopalatine Line/Palatine Inferior Dental Arch; Rhinopalatine Line
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| Abstract
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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.
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| Subject
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Atlanto-occipital joint-- Surgery.
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Cervical vertebrae-- Surgery.
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Cervical vertebrae-- Surgery.
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| Subject
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MEDICAL-- Surgery-- General.
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| Dewey Classification
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617.5/8059
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| LC Classification
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RD768
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| Added Entry
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Visocchi, Massimiliano
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