2 High Anterior Cervical, Retropharyngeal Approach to the Ventral Craniocervical Junction and Upper Cervical Spine

2007 ◽  
Keyword(s):  
Cervical Spine ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Upper Cervical

scholarly journals Subarachnoid Hematoma of the Craniocervical Junction and Upper Cervical Spine After Traumatic Cerebral Contusion: Case Report

2013 ◽  
Vol 53 (9) ◽  
pp. 620-624 ◽  
Author(s):  
Alessandro DI RIENZO ◽  
Maurizio IACOANGELI ◽  
Lorenzo ALVARO ◽  
Roberto COLASANTI ◽  
Elisa MORICONI ◽  
...  
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Cerebral Contusion ◽  
Upper Cervical

scholarly journals Upper Cervical Spine Stability: Maximum Rotation and the Rotation Stress Test in Clinics

2019 ◽  
Vol 7 ◽  
Author(s):  
Ana I Lorente ◽  
Mario Maza Frechín ◽  
Albert Pérez Bellmunt ◽  
César Hidalgo García
Keyword(s):  
Cervical Spine ◽  
Stress Test ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Spine Stability ◽  
Upper Cervical ◽  
Rotation Stress

The rotation stress test is used to evaluate stability of the craniocervical junction by assuming that it gives the maximum rotation. However, a more complex manipulation might show a higher rotation: the rotation with extension and contralateral bending. This was tested in vitro with ten upper cervical spine specimens.

scholarly journals Pseudogout of the Transverse Atlantal Ligament: An Unusual Cause of Cervical Myelopathy

2004 ◽  
Vol 31 (2) ◽  
pp. 273-275 ◽  
Author(s):  
Donald E.G. Griesdale ◽  
Mike Boyd ◽  
Ramesh L. Sahjpaul
Keyword(s):  
Cervical Spine ◽  
Cervical Myelopathy ◽  
Healthy Woman ◽  
Cord Compression ◽  
Calcium Pyrophosphate ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Calcium Pyrophosphate Dihydrate ◽  
Upper Cervical ◽  
Pyrophosphate Dihydrate

AbstractBackground:Calcium pyrophosphate dihydrate deposition in the cervical spine is infrequently symptomatic. This is especially true at the craniocervical junction and upper cervical spine.Case Report:A 70-year-old previously healthy woman presented with a progressive cervical myelopathy of four months duration.Results:Examination revealed sensorimotor findings consistent with an upper cervical myelopathy. Radiological studies (plain radiographs, computed tomography, and magnetic resonance imaging) revealed C1-2 instability, and a well-defined extradural 3cm x 1cm retro-odontoid mass causing spinal cord compression. Transoral resection of the mass was performed followed by posterior C1-2 stabilization. Histological examination of the mass confirmed calcium pyrophosphate dihydrate deposition. Follow-up examination showed marked clinical and radiological improvement.Conclusion:Although uncommon, calcium pyrophosphate dihydrate deposition disease should be considered in the differential diagnosis of extradural mass lesions in the region of the odontoid.

Transoral Approaches to the Cervical Spine

Neurosurgery ◽  
2010 ◽  
Vol 66 (suppl_3) ◽  
pp. A119-A125 ◽  
Author(s):  
Wesley Hsu ◽  
Jean-Paul Wolinsky ◽  
Ziya L. Gokaslan ◽  
Daniel M. Sciubba
Keyword(s):  
Cervical Spine ◽  
Gold Standard ◽  
Cranial Base ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Endoscopic Endonasal ◽  
Technical Aspects ◽  
Surgical Access ◽  
Upper Cervical ◽  
Important Approach

Abstract A NUMBER OF anterior approaches to the craniocervical junction have been described to allow exposure to the midline and lateral aspects of both the cranial base and upper cervical spine. The transoral-transpharyngeal approach, a technique that is well known to many spine surgeons, provides surgical access to the anterior clivus, C1, and C2. Transoral approaches provide the fundamental anatomy and technique upon which the more complex jaw-splitting approaches are based. This article discusses fundamental concepts regarding anatomy, perioperative considerations, and technical aspects critical to this important approach to the craniocervical junction. The transoral-transpharyngeal approach remains the “gold standard” for anterior approaches to the cervical spine. Endoscopic endonasal and endoscopic transcervical approaches are promising alternatives that may become more mainstream as experience with these approaches increases.

scholarly journals Vascularized Occipital Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives

2021 ◽  
Vol 35 (01) ◽  
pp. 014-019
Author(s):  
Sebastian J. Winocour ◽  
Erica Y. Xue ◽  
Michael A. Bohl ◽  
Farrokh Farrokhi ◽  
Matthew J. Davis ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Craniocervical Junction ◽  
Upper Cervical Spine ◽  
Atlantoaxial Joint ◽  
Spinal Fixation ◽  
Relative Ease ◽  
Novel Technique ◽  
Upper Cervical ◽  
Increased Strength ◽  
Vascularized Bone

AbstractSuccessful arthrodesis at the craniocervical junction and atlantoaxial joint can be more challenging than in other segments of the cervical spine. Different techniques for spinal fixation in this region have been well described, along with auxiliary methods to improve fusion rates. The occipital vascularized bone graft is a novel technique that can be used to augment bony arthrodesis in the supra-axial cervical spine. It provides the benefits of a vascularized autologous graft, such as accelerated healing, earlier fusion, and increased strength. This technique can be learned with relative ease and may be particularly helpful in cases with high risk of nonunion or pseudoarthrosis in the upper cervical spine.

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