How I do it: lateral approach for craniocervical junction tumors

Rossmann, Tobias; Veldeman, Michael; Nurminen, Ville; Lehečka, Martin

doi:10.1007/s00701-022-05426-0

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Within the literature, there are few reports of clivus-cervical stabilization with cervical plate and mesh with cementation in oncological pathology [ 23 , 24 , 25 , 26 , 27 , 28 , 29 ]. To our knowledge, the reported cases for treatment are expanding implants or meshes with cementation in tumors and metastases of the subaxial cervical spine.…”

Section: Discussionmentioning

confidence: 99%

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Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Reyes-Soto,

Corona De la Torre,

Honda Partida

et al. 2024

Brain Sciences

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Craniocervical tumors lead to cervical pain, instability, and neurological symptoms, reducing the quality of life. Effective surgical intervention at the craniocervical junction (CCJ) is critical and complex, involving comprehensive approaches and advanced reconstructive techniques. This study, conducted at Mexico City’s National Institute of Cancerology, focused on three surgical cases that occurred in 2023 involving tumors at the CCJ: two chordomas and one prostate adenocarcinoma. We utilized a specialized technique: clivus-cervical stabilization reinforced with a polymethylmethacrylate (PMMA)-filled cervical mesh. Postoperatively, patients showed marked neurological recovery and reduced cervical pain, with enhanced Karnofsky and Eastern Cooperative Oncology Group (ECOG) scores indicating improved life quality. The surgical technique provided excellent exposure and effective tumor resection, utilizing PMMA-filled cervical mesh for stability. Tumoral lesions at the CCJ causing instability can be surgically treated through a transoral approach. This type of approach should be performed with precise indications to avoid complications associated with the procedure.

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Section: Discussionmentioning

confidence: 99%

“…To our knowledge, the reported cases for treatment are expanding implants or meshes with cementation in tumors and metastases of the subaxial cervical spine. Regarding the presence of metastases in the CCJ, there is not enough information on surgical treatment since they cause instability and spinal cord compression [ 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Reyes-Soto,

Corona De la Torre,

Honda Partida

et al. 2024

Brain Sciences

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“…Surgical management is still considered the ideal management for spinal AV fistulas because of the high rate of complete obliteration. 4,5 The use of intraoperative Doppler and indocyanine green videoangiography is an efficient way to determine the presence of residual blood flow into the spinal fistula. Careful arachnoid dissection and avoiding proximal or distal clipping of the fistula are important considerations to achieve an optimal surgical result.…”

mentioning

confidence: 99%

Surgical Obliteration of a Spinal Intradural Direct Arteriovenous Fistula (Type IV): 2-Dimensional Microsurgical Video

Quiceno,

Seaman,

Hussein

et al. 2023

Operative Neurosurgery

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Complex intradural spinal arteriovenous (AV) fistulas are uncommon and a surgical challenge given their particular configuration in relation with the spinal vasculature. 1,2 Direct AV fistulas or type IV fistulas consist of a pathologic connection between a superficial spinal artery and the coronal venous plexus. 2,3 We describe the surgical technique to clip a direct AV fistula in the thoracolumbar junction through a midline approach in a 36-year-old male patient who presented with progressive neurological deterioration and who consented to the procedure. The surgery was performed with the patient in prone position, under neuromonitoring and with the use of intraoperative Doppler and indocyanine green videoangiography. The patient's neurological status improved after the procedure, and he was able to ambulate with the aid of a walker on day 2 postoperatively and was discharged to rehabilitation on day 5 postoperatively. Control angiography did not show residual filling of the fistula. Surgical management is still considered the ideal management for spinal AV fistulas because of the high rate of complete obliteration. 4,5 The use of intraoperative Doppler and indocyanine green videoangiography is an efficient way to determine the presence of residual blood flow into the spinal fistula. Careful arachnoid dissection and avoiding proximal or distal clipping of the fistula are important considerations to achieve an optimal surgical result.

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Step-by-Step Dissection of the Extreme Lateral Transodontoid Approach to the Anterior Craniovertebral Junction: Surgical Anatomy and Technical Nuances

Abramov,

Labib,

Altshuler

et al. 2023

World Neurosurgery

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How I do it: lateral approach for craniocervical junction tumors

Cited by 4 publications

References 11 publications

Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Surgical Obliteration of a Spinal Intradural Direct Arteriovenous Fistula (Type IV): 2-Dimensional Microsurgical Video

Step-by-Step Dissection of the Extreme Lateral Transodontoid Approach to the Anterior Craniovertebral Junction: Surgical Anatomy and Technical Nuances

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