Surgical treatment of upper cervical spine metastases: a retrospective study of 39 cases

Even though fractures in children with immature spines occur predominantly in the upper cervical spine, isolated C-1 fractures are relatively rare. The fractures in almost all cases reported to date were considered stable due to the presence of the intact transverse ligament. The authors report the case of a young child who sustained a Jefferson fracture and in whom MR imaging revealed disruption of the transverse ligament. Although surgical treatment has been suggested as the treatment of choice for children with unstable atlantoaxial injuries, external immobilization alone allowed a full recovery in the patient with no evidence of instability at follow-up.

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Combined Transoral and Median Labiomandibular Glossotomy Approach to the Upper Cervical Spine

Neurosurgery ◽

10.1227/00006123-198106000-00006 ◽

1981 ◽

Vol 8 (6) ◽

pp. 672-674 ◽

Cited By ~ 47

Author(s):

Ehud Arbit ◽

Russel H. Patterson

Keyword(s):

Spinal Cord ◽

Cervical Spine ◽

Surgical Treatment ◽

Surgical Approach ◽

Cervical Spinal Cord ◽

Transoral Approach ◽

Direct Approach ◽

Upper Cervical Spine ◽

Functional Loss ◽

Upper Cervical

abstract A surgical approach to the clivus and anterior spine from C-1 to the upper part of C-5 is described. It is a direct approach that provides a wider and longer exposure than does the transoral approach. Despite the seemingly radical incision, the cosmetic deformity and functional loss are minimal. This approach is useful for the surgical treatment of a variety of processes that are situated ventral to the upper cervical spinal cord and the cervicomedullary junction.

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Klippel–Feil Syndrome (KFS) with Multiple Cervical Anomalies Discovered Following Trauma

Indian Journal of Neurotrauma ◽

10.1055/s-0040-1718245 ◽

2020 ◽

Author(s):

Fernando Celi ◽

Giancarlo Saal-Zapata

Keyword(s):

Cervical Spine ◽

Surgical Treatment ◽

Vascular Malformations ◽

Upper Cervical Spine ◽

Congenital Disease ◽

Cervical Injury ◽

Anatomical Variants ◽

Complex Anatomy ◽

Upper Cervical ◽

Type Of Surgery

AbstractThe approach to the upper cervical spine is a challenge for surgeons, not only for its complex anatomy but also for the great variety of pathologies. Klippel–Feil syndrome (KFS) is a congenital disease characterized by the fusion of two or more cervical segments and is associated with various musculoskeletal and vascular malformations. However, there is no consensus on the type of surgery, approach, level of fixation or fusion. We report the case of a KFS, associated with multiple anatomical variants, who suffered a traumatic cervical injury and underwent surgical treatment.

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Surgical Treatment of Upper Cervical Spine Disorders in Rheumatoid Arthritis Patients

Spinal Surgery ◽

10.2531/spinalsurg.8.116 ◽

1994 ◽

Vol 8 (0) ◽

pp. 116-124

Author(s):

Hideaki Iizuka ◽

Satoru Kadoya

Keyword(s):

Rheumatoid Arthritis ◽

Cervical Spine ◽

Surgical Treatment ◽

Upper Cervical Spine ◽

Upper Cervical ◽

Spine Disorders

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Tumour Surgery of the Upper Cervical Spine - A Retrospective Study of 13 Cases

Acta Neurochirurgica ◽

10.1007/s007010170101 ◽

2001 ◽

Vol 143 (3) ◽

pp. 217-225 ◽

Cited By ~ 24

Author(s):

U. Vieweg ◽

B. Meyer ◽

J. Schramm

Keyword(s):

Cervical Spine ◽

Retrospective Study ◽

Upper Cervical Spine ◽

Upper Cervical

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Aneurysmal bone cyst of upper cervical spine surgical treatment

Ukrainian Neurosurgical Journal ◽

10.25305/unj.126756 ◽

2006 ◽

Vol 0 (1) ◽

pp. 104-110

Author(s):

E. I. Slynko ◽

A. M. Zolotoverkh ◽

A. I. Ermolyev

Keyword(s):

Cervical Spine ◽

Surgical Treatment ◽

Aneurysmal Bone Cyst ◽

Bone Cyst ◽

Upper Cervical Spine ◽

Upper Cervical

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Surgical management of coincidental metastases to upper cervical spine and skull from hepatocellular carcinoma: a case report

Journal of International Medical Research ◽

10.1177/0300060518800875 ◽

2018 ◽

Vol 46 (11) ◽

pp. 4852-4859 ◽

Cited By ~ 1

Author(s):

Hiroshi Uei ◽

Yasuaki Tokuhashi ◽

Masafumi Maseda ◽

Masahiro Nakahashi ◽

Hirokatsu Sawada ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Cervical Spine ◽

Postoperative Radiotherapy ◽

Tumor Resection ◽

Occipital Bone ◽

Upper Cervical Spine ◽

Spine Metastases ◽

Upper Cervical ◽

Bone Tumor Resection ◽

Instrumentation Failure

Metastases to the skull or upper cervical spine from hepatocellular carcinoma (HCC) are very rare. We herein report a unique case of two-site surgery for both skull and upper cervical spine metastases from HCC. The patient was a 64-year-old man with cervical pain. Computed tomography (CT) revealed osteolytic change related to metastatic cervical spine and occipital bone tumors. Two-stage surgery involving posterior occipitocervical fusion and occipital bone tumor resection was performed. The patient’s pain decreased in severity, and postoperative radiotherapy and chemotherapy could be conducted. The postoperative course was favorable, and the patient exhibited improvement in his activities of daily living. Neither cervical spine X-ray examination nor CT showed any instrumentation failure, such as screw loosening, before the patient died of liver failure 13 months after surgery. Patients with both skull and upper cervical spine metastases from liver cancer may have a markedly unfavorable prognosis. Even in these patients, however, surgery as an aggressive palliative treatment may prolong the survival period or maintain the quality of life as long as the patient’s general condition permits.

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