Extreme lateral-transatlas approach for resection of the dens of the axis

Ture U., Pamir M.

JOURNAL OF NEUROSURGERY, vol.96, no.1, pp.73-82, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 96 Issue: 1
  • Publication Date: 2002
  • Doi Number: 10.3171/spi.2002.96.1.0073
  • Journal Name: JOURNAL OF NEUROSURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.73-82
  • Keywords: basilar invagination, craniovertebral junction, extreme lateral-transatlas approach, foramen magnum, rheumatoid arthritis, vertebral artery, FORAMEN MAGNUM, CRANIOVERTEBRAL JUNCTION, TRANSCONDYLAR APPROACH, CRANIOCERVICAL JUNCTION, SURGICAL-MANAGEMENT, TRANSORAL APPROACH, CERVICAL-SPINE, MICROSURGICAL ANATOMY, BASILAR INVAGINATION, RHEUMATOID-ARTHRITIS
  • Marmara University Affiliated: No

Abstract

Object. Various approaches have been described for resection of the dens of the axis, each of which has potential advantages and disadvantages. Anterior approaches such as the transoral route or its modifications are the most commonly used for resection of this structure. The transcondylar approach, however, which allows the surgeon to view the craniovertebral junction (CVJ) from a lateral perspective, has been introduced by Al-Mefty, et al., as an alternative approach. In this report, the authors describe the surgical technique of the extreme lateral-transatlas approach and their clinical experiences.