Surgery of the Cranio-Vertebral Junction

Description:

This book provides a unique tool for approaching cranio-vertebral junction (CVJ) surgery. Following a brief introduction to the relevant anatomy and biomechanics of CVJ, it explores the field of cranio-vertebral junction lesions and their management. Furthermore, individual chapters cover endovascular surgery, endoscopic skull base techniques, navigation and robotics, ensuring that surgeons stay up-to-date. A chapter addressing the consequences of CVJ surgery with regard to sagittal balance is of particular importance. The book is structured according both to the type of lesion involving the CVJ (tumor, trauma), and to the type of surgical approach (anterior, posterior). Further, it reflects innovative treatment modalities that have improved patient safety and efficacy rates for surgery involving the CVJ, and covers both open and minimally invasive surgical methods, enabling surgeons to hone their skills in both areas.

Table of Contents:

Part I. Introduction

1. Relevant Anatomy of the Craniovertebral Junction

2. Surgical Anatomy of the Vertebral Artery at Craniovertebral Junction Level

3. Radiological Assessment of the Craniovertebral Junction

4. Biomechanics of the CVJ

5. Sagittal Balance Concept Applied to the Craniovertebral Junction

Part II. Perioperative Considerations

6. Surgical Positioning

7. Neuroanesthetic Considerations for Patients Undergoing Posterior Fossa and Craniovertebral Junction Surgery

8. Perioperative Management: Surgical Site Infection Prevention, DVT Prophylaxis, and Blood Loss Management

9. Surgery of the Cranio-Vertebral Junction: Image Guidance, Navigation, and Augmented Reality

Part III. Surgical Techniques

10. Open Transoral Approach

11. Endoscopic Transnasal Approach

12. Odontoid Screw Fixation and Anterior C1-C2 Fixation Techniques

13. Atlanto-Axial Fixation Techniques

14. Occipito-Cervical Fixation Techniques

15. Far Lateral Transcondylar Transtubercular Approach

16. Anterolateral and Extreme Lateral Approaches

17. Minimally Invasive Techniques Applied to the Cranio-Vertebral Junction

18. Endovascular Approaches: Indications and Techniques

Part IV. Management of Cranio-Vertebral Junction Lesions

19. Craniovertebral Junction Instability and Mechanisms of Injury

20. Classification and Radiological Assessment of CVJ Trauma

21. Surgical Decision-Making in Cranio-Vertebral Junction Trauma: A Case Illustrated Chapter

22. Management of Retro-Odontoid Pseudotumor

23. Classification and Radiological Assessment of CVJ Tumors

24. Primary Osseous and Metastatic Neoplasms of the CVJ

25. Intramedullary Tumors of the Cervicomedullary Junction

26. The Anterior (Endoscopic Endonasal) Approach and Outcomes for Foramen Magnum Tumors

27. Foramen Magnum Tumours: Posterior Approaches and Outcome

28. Surgery Involving the Vertebral Artery at the Cranio-vertebral Junction

29. Management of Aneurysms and AVMs at the Cranio-vertebral Junction

30. Posterior Fossa Revascularization Options at the Cranio-vertebral Junction

31. Management of Cavernous Malformation of the Cervicomedullary Junction

32. Management of Chiari Malformation

33. Congenital Anomalies of Cranio-vertebral Junction

34. Infections at the Cranio-vertebral Junction

35. Rheumatoid Cervical Myelopathy

Back Matter