Transoral Approach to Extradural Lesions of the Lower Clivus and Upper Cervical Spine: An Experience of 19 Cases

Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Nicola Di Lorenzo
Keyword(s):  
Cervical Spine ◽  
Surgical Management ◽  
Transoral Approach ◽  
Long Term Results ◽  
Upper Cervical Spine ◽  
Ventral Aspect ◽  
Upper Cervical ◽  
Lower Clivus ◽  
Postoperative Instability

Abstract An experience with 19 cases of transoral exposure of the lower clivus and ventral aspect of the upper cervical spine is presented. The spectrum of pathological entities in this series includes malformative, neoplastic, and spondylotic conditions. The report is designed to focus upon some points of overall surgical management of patients treated by the transoral approach, with emphasis on management of postoperative instability, and to underline the discrepancy in the prognosis of congenital and acquired disorders, in terms of mortality, morbidity, and long-term results.

Long-Term Results Following Surgical Resection of Chordomas in the Craniocervical Junction and the Upper Cervical Spine: Review of 12 Consecutive Cases

2017 ◽  
Vol 14 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Seung-Jae Hyun ◽  
Jin-Wook Kim ◽  
Ki-Jeong Kim ◽  
Tae-Ahn Jahng ◽  
Sung Woo Roh ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Surgical Resection ◽  
Craniocervical Junction ◽  
Long Term Results ◽  
Upper Cervical Spine ◽  
Upper Cervical

Microscopic Decompression of the Anterior Upper Cervical Spine: A Case of Odontoid Malunion to the Atlas

Neurosurgery ◽  
1984 ◽  
Vol 14 (5) ◽  
pp. 583-587 ◽  
Author(s):  
Jimmy Miller ◽  
Andrew D. Parent
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Odontoid Process ◽  
Transoral Approach ◽  
Upper Cervical Spine ◽  
Basilar Impression ◽  
Odontoid Fractures ◽  
Surgical Microscope ◽  
The Past ◽  
Upper Cervical

Abstract For the past 20 years, the transoral approach to the upper cervical spine has been utilized for odontoid fractures, the removal of an abnormal odontoid process, decompression of basilar impression, and biopsy or resection of nasopharyngeal or metastatic tumors. The effectiveness and safety of this procedure is well documented. Use of the surgical microscope adds to the efficiency and safety of the procedure. We are reporting a case of fusion of the odontoid base to the anterior arch of the atlas. To our knowledge, this entity has not been described previously. The spinal cord was protected by an initial posterior fusion of C-1, C-2, followed in 10 days by a tracheostomy and the transoral removal of the anterior C-1 arch and the abnormal dens. Because the medical history did not reveal a source of trauma, it is supposed that the patient had malunion of the odontoid process to C-2, with subsequent migration and fusion of the dens to the C-1 arch.

Labiomandibular, Transoral Approach to Chordomas in the Clivus and Upper Cervical Spine

Neurosurgery ◽  
1981 ◽  
Vol 8 (6) ◽  
pp. 675-679 ◽  
Author(s):  
Tomas E. Delgado ◽  
Eddy Garrido ◽  
Robert D. Harwick
Keyword(s):  
Cervical Spine ◽  
Surgical Approach ◽  
Transoral Approach ◽  
Upper Cervical Spine ◽  
Total Removal ◽  
Upper Cervical ◽  
Microsurgical Techniques

abstract Three patients with chordomas of the clivus and the upper cervical spine underwent the removal of their tumors through a transoral approach with labiomandibular splitting and microsurgical techniques. This surgical approach provided excellent visualization of the anterior craniocervical area and allowed a gross total removal in each case. Although the lesions in our patients were chordomas, this approach could also be used for other surgical lesions in this area.

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

Neurosurgery ◽  
1981 ◽  
Vol 8 (6) ◽  
pp. 672-674 ◽  
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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