Surgery of the Craniovertebral Junction


Book Description

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.




Craniovertebral Junction


Book Description

The latest management strategies for complex lesions of the craniovertebral junction Written by masters in the field, The Craniovertebral Junction: Diagnosis, Pathology, Surgical Techniques provides in-depth coverage of up-to-date management principles for this delicate anatomic region. After a brief introduction to anatomy, biomedical considerations, and embryology, the multidisciplinary team of authors, led by Professor Goel, discusses in detail the most innovative fixation and stabilization techniques for atlantoaxial dislocation, as well as congenital,infective, and acquired anomalies in the craniovertebral junction region. Each concise chapter focuses on a single pathology to guide readers through the nuances of these intricate and demanding surgical procedures. Features: Discusses in detail Professor Goel's groundbreaking treatment methods - now accepted as standards in the field Covers state-of-the-art protocols and techniques, including alternative treatment protocols for irreducible and rotatory atlantoaxial dislocation and more Introduces a novel concept of craniovertebral realignment Over 1,000 high-quality drawings, radiographs, and full-color photographs demonstrate surgery and anatomy and enhance the text Contains a full section Casebook featuring 22 well-illustrated cases displaying a wealth of pathology Text is rounded out by practical advice on how to manage trauma, degenerative disorders, infections, and tumors This fully illustrated manual fills the current gap in craniovertebral junction literature with the clear, accessible information every neurosurgeon, orthopedic surgeon, and spine surgeon needs.




New Trends in Craniovertebral Junction Surgery


Book Description

This issue of Acta Neurochirururgica presents the latest surgical and experimental approaches to the craniovertebral junction (CVJ). It discusses anterior midline (transoral transnasal), posterior (CVJ craniectomy laminectomy, laminotomy, instrumentation and fusion), posterolateral (far lateral) and anterolateral (extreme lateral) approaches using state-of-the-art supporting tools. It especially highlights open surgery, microsurgical techniques, neuronavigation, the O-arm system, intraoperative MR, neuromonitoring and endoscopy. Endoscopy represents a useful complement to the standard microsurgical approach to the anterior CVJ: it can be used transnasally, transorally and transcervically; and it provides information for better decompression without the need for soft palate splitting, hard palate resection, or extended maxillotomy. While neuronavigation allows improved orientation in the surgical field, intraoperative fluoroscopy helps to recognize residual compression. Under normal anatomic conditions, there are virtually no surgical limitations to endoscopically assisted CVJ and this issue provides valuable information for the new generation of surgeons involved in this complex and challenging field of neurosurgery.




Reconstruction of Upper Cervical Spine and Craniovertebral Junction


Book Description

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 Vertebral Artery


Book Description

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.




Trends in Reconstructive Neurosurgery


Book Description

These proceeding cover new trends presented at the IV Congress of the International Society of Reconstructive Neurosurgery (ISRN), 2015. ISRN is an “open” multidisciplinary society that deals with advances in spine and peripheral-nerve reconstructive surgery, central nervous system revascularization (surgical, radio interventional), neuromodulation, bioengineering and transplantation, which are the latest tools used to promote reconstruction, restoration and rehabilitation.




Pediatric Craniovertebral Junction Diseases


Book Description

​This dedicated volume in the series Advances and Technical Standards in Neurosurgery (ATSN) provides a comprehensive approach to diseases of the craniovertebral junction (CVJ) and their management based on the multidisciplinary cooperation of neurosurgeons, anatomists, neuroradiologists, and neuroanesthesiologists. The contributing authors represent the most renowned clinical and surgical experts from Europe and beyond. The main topics highlighted are embryology, normal and abnormal development of the CVJ, including the related vessels, modern radiological contributions to diagnosis, genetic and metabolic factors which may impact on the surgical strategies, the opportunities offered by traditional operative techniques, and the recently introduced minimally invasive and endoscopic surgical modalities. Special emphasis is also placed on the evolution of the principles of surgical treatment as matured during the past decade by experiences in the still open field of pediatric neurosurgery.




Principles of Neuro-Oncology


Book Description

This book provides a comprehensive overview of the management of brain and skull base tumors. It features detailed insight into the intrinsic molecular biology, anatomical foundation, radiological planning, surgical execution, and the novel therapeutics that guide today’s treatment regimens. The first section features concepts related to the epidemiology and pathological basis of disease processes, including relevant cellular and molecular biology. In the second section, integral anatomical foundations and principles are covered including microsurgical anatomy of the cerebrum, white matter tracts, ventricles, brainstem, skull base, advancements in radiological imaging, and cognitive examinations. Surgical approaches and how to execute these procedures are then subsequently discussed in the third part of the work. Principles of Neuro-Oncology: Brain & Skull Base is a practically applicable guide to the latest treatment techniques available to treat these patients. Therefore, it is an indispensable resource for all physicians who utilize these methodologies in their day-to-day practice.




Surgery of the Pediatric Spine


Book Description

A single-volume reference for managing pediatric spine disorders and disease Ideal for neurosurgeons, pediatric neurosurgeons, and orthopedic surgeons, Surgery of the Pediatric Spine is a comprehensive multidisciplinary reference for the surgical management of the most frequently encountered spine problems in the pediatric patient. An overview of developmental and clinical aspects provides essential information on biomechanics, neuroimaging, preoperative evaluation, anesthesia, and neurophysiological monitoring. The book goes on to present the surgical anatomy and various approaches to the spine and spinal cord. Chapters are grouped into easy-to-reference sections that are organized by type of problem, including congenital anomalies and developmental disorders; neoplasms; vascular malformations; inflammatory and infectious diseases; neuromuscular disease; trauma; and deformities. The book also presents special techniques for the treatment of spinal deformity, such as osteotomy, vertebrectomy, VEPTR expansion thoracoplasty, and fusionless techniques. A chapter devoted to the rehabilitation of children with spinal cord injury covers the principles and key concepts in treatment, as well as the possible secondary complications and challenges that are unique to pediatric patients. Highlights: Clinical insights from well-known experts in the fields of neurosurgery, pediatric neurosurgery, and orthopedics Detailed information for each stage of management guides the reader through clinical presentation, diagnostic studies, indications, operative techniques, nonsurgical treatments, possible complications, and outcomes More than 1,000 illustrations and images demonstrate key concepts Numerous cases in selected chapters illustrate management principles and treatment outcomes An invaluable resource for multidisciplinary approaches to patient care, this comprehensive text provides readers with a solid foundation in the specific issues associated with treating the pediatric patient with spine disease and disorders.




Craniovertebral Junction


Book Description

The craniovertebral junction is imaged on every brain, neck and cervical spine MR and CT study performed. This region has unique nomenclature, embryology, anatomy, vasculature, biomechanics and pathology. Surgical techniques are also used in this region that are distinctive, and related to the underlying complex anatomy. This book incorporates normal anatomy, embryology, specialized imaging techniques and the myriad of unique pathology which occurs in that region. Time-saving bulleted text and state-of-the art annotated radiographic and medical illustrations, this volume will be an resource for residents and fellows in radiology, neurosurgery, and orthopaedic surgery who deal with the skull base and craniocervical / craniovertebral junction.