Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 May;165(5):1315-1322.
doi: 10.1007/s00701-022-05426-0. Epub 2022 Nov 25.

How I do it: lateral approach for craniocervical junction tumors

Tobias Rossmann  1   2 , Michael Veldeman  3   4 , Ville Nurminen  3 , Martin Lehecka  3
Affiliations

How I do it: lateral approach for craniocervical junction tumors

Tobias Rossmann et al. Acta Neurochir (Wien). 2023 May.

Abstract

Background: The far lateral approach has been developed to access lesions at the craniocervical junction and upper cervical spinal canal. Associated morbidity triggered the development of less invasive tailored approaches.

Method: In this lateral approach to the craniocervical junction, the occipital condyle is kept intact, vertebral artery manipulation is minimized, and the sigmoid sinus is not skeletonized. A linear incision through skin and muscles and use of an abdominal wall fat graft minimize the risk of cerebrospinal fluid leakage.

Conclusions: The exposure provided is sufficient for the majority of tumors in this region and allows for low complication rates.

Keywords: Exoscope; Far lateral; Meningioma; Modified; Skull base.

PubMed Disclaimer

References

    1. Alshafai NS, Klepinowski T (2019) The far lateral approach to the craniovertebral junction: an update. Acta Neurochir Suppl 125:159–164 - DOI - PubMed
    1. Ehret F, Kufeld M, Fürweger C et al (2022) The role of stereotactic radiosurgery in the management of foramen magnum meningiomas-a multicenter analysis and review of the literature. Cancers (Basel) 14(2):341 - DOI - PubMed
    1. Hong JT, Lee SW, Son BC, Sung JH, Yang SH, Kim IS, Park CK (2008) Analysis of anatomical variations of bone and vascular structures around the posterior atlantal arch using three-dimensional computed tomography angiography. J Neurosurg Spine 8(3):230–236 - DOI - PubMed
    1. Matsushima K, Kawashima M, Matsushima T, Hiraishi T, Noguchi T, Kuraoka A (2014) Posterior condylar canals and posterior condylar emissary veins-a microsurgical and CT anatomical study. Neurosurg Rev 37(1):115–126 - DOI - PubMed
    1. Parlato C, Tessitore E, Schonauer C, Moraci A (2003) Management of benign craniovertebral junction tumors. Acta Neurochir (Wien) 145(1):31–36 - DOI - PubMed

LinkOut - more resources