Reconstruction Of Upper Cervical Spine And Craniovertebral Junction

An illustrative manual for general spine surgeons, this text atlas covers all currently available techniques of upper cervical spine and craniovertebral junction reconstruction. All the surgical risks and benefits are discussed and compared with the outcome of more than 300 surgeries of this region. The surgical procedures are demonstrated step-by-step in instructive drawings and illustrations describing the approach, technique of implant introduction and spine reconstruction. A special focus is on realtime and virtual navigation techniques as well as potential complications and their avoidance.

The original and definitive reference on surgery of the craniovertebral junction, now in an updated second edition. The craniovertebral junction, with a significant range of pathologies and anatomical complexities, continues to be a challenging area for surgeons. This new edition of Surgery of the Craniovertebral Junction focuses on surgical decision making and technological advances in the treatment modalities for this region. Written and edited by senior surgeons at University Hospitals Case Medical Center in Cleveland, Ohio, and the world-renowned Barrow Neurological Institute in Phoenix, Arizona, this is a comprehensive text that spine and skull base surgeons will refer to often. A content-rich, interactive DVD containing cadaveric dissections, animations of surgical approaches and techniques, and a selection of short, narrated cases, is included with the book. Key Features: Contains new chapters on stereotactic radiosurgery, endovascular surgery, and endoscopic skull base techniques, ensuring that surgeons stay current Includes an interactive DVD with high-quality, compelling videos on anatomy and surgical methods, providing readers with visuals to aid in interpretation of the text Reflects the technological advances and innovative treatment modalities that have improved patient safety and efficacy rates for surgery involving this highly complex area Covers both open and minimally invasive surgical methods, enabling surgeons to hone their skills in both areas Surgery of the Craniovertebral Junction, Second Edition is the surgical resource every spine and skull base surgeon should have on their bookshelf.

This atlas documents current surgical approaches to the craniocervical junction and the cervical spine, providing step-by-step guidance on procedures and cervical spine stabilization techniques. Opening chapters present essential information on anatomy, depict pathologies with the aid of illustrative cases, describe the role of imaging techniques in patient evaluation, and discuss surgical instrumentation and patient positioning. The different techniques employed in this delicate anatomic region, including transnasal and transoral endoscopic approaches to the craniocervical junction and posterior and anterior approaches to the cervical spine, are then explained and illustrated with a view to providing the surgeon with a clear reference that can be used in the operating room. In addition, practical advice is offered on the treatment of potential complications, postoperative management, and rehabilitation. This book will be of value not only to neurosurgeons but also to orthopedists, ENT surgeons, neurologists, and physiatrists.

This comprehensive, up-to-date textbook of modern cervical spine surgery describes the standard and advanced techniques recommended by the Cervical Spine Research Society – European Section (CSRS-E) with a view to enabling both young and experienced surgeons to further develop their skills and improve their surgical outcomes. Success in cervical spine surgery depends on the surgeon’s awareness of the main challenges posed by distinct cervical spine diseases, theoretical understanding of treatment concepts, and knowledge of technical options and the related potential for complications. It is the surgeon who has to merge theory and practice to achieve the desired outcome, in each case appraising the details of surgical anatomy and weighing the challenges and complications associated with a surgical technique against the skills that he or she possesses. This excellently illustrated book, written by key opinion makers from the CSRS-E with affiliated surgeons as co-authors, presents the full range of approaches and techniques and clearly identifies indications, precautions, and pitfalls. It will be a superb technical reference for all cervical spine surgeons, whether orthopaedic surgeons or neurosurgeons.

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.

The specialized ligaments that connect the head to the spine have never before had a book dedicated to their anatomy and clinical relevance. Therefore, this book is unique and fills in a gap in the literature. Audiences with a strong interest in such a topic include radiologists, spine surgeons, anatomists, rehabilitation physicians and therapists. Additionally, trainees including students, residents and fellows in disciplines treating patients with diseases or trauma to the craniocervical (connection between the head and neck) junction will have a strong interest in the book. As the fine surgical anatomy involved in spine surgery has progressed greatly in recent year, knowledge of all detailed anatomical structures relevant to this field is important. Therefore, this book will satisfy the demand for a more detailed knowledge regarding this region of the body and will be welcomed and timely for all who are interested in the human spine.

Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.