Acceptable clinical outcomes can be achieved in lower-volume aneurysm practices. A multidisciplinary subspecialty approach with aggressive perioperative care, especially in the prevention and treatment of cerebral vasospasm, is important in obtaining these results. Close interaction with medical consultants and other subspecialists is necessary.
✓ A technique for intraoperative cervical spine stabilization is described. The method involves use of a halo ring and the Mayfield three-pin skull clamp.
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