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Why the Craniovertebral Junction?
Pages 3-8
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.
Why the Craniovertebral Junction?
Pages 3-8
The Craniovertebral Junction and Laboratory Experience: The Italian Paradox
Pages 11-12
Mastering Craniovertebral Junction Surgical Approaches: The Dissection Laboratory Experience at the Catholic University of Rome
Pages 13-15
Surgical Highways to the Craniovertebral Junction: Is It Time for a Reappraisal?
Pages 17-23
The Endoscopic Endonasal Approach to Craniovertebral Junction Pathologies: Surgical Skills and Anatomical Study
Pages 25-36
Endonasal and Transoral Approaches to the Craniovertebral Junction: A Quantitative Anatomical Study
Pages 37-44
Ventral Brainstem Anatomy: An Endoscopic Transoral Perspective
Pages 45-50
Transoral Approach to the Craniovertebral Junction: A Neuronavigated Cadaver Study
Pages 51-55
Atlantoaxial Instability: Evolving Understanding
Pages 59-62
Ossification of the Posterior Longitudinal Ligament: Analysis of the Role of Craniovertebral and Spinal Instability
Pages 63-70
Role of Subaxial Spinal and Atlantoaxial Instability in Multisegmental Cervical Spondylotic Myelopathy
Pages 71-78
The Craniovertebral Junction in Rheumatoid Arthritis: State of the Art
Pages 79-86
Chiari Malformations
Pages 89-95
The Role of Arachnoid Veils in Chiari Malformation Associated with Syringomyelia
Pages 97-99
Atlantoaxial Fixation for Treatment of Chiari Formation and Syringomyelia with No Craniovertebral Bone Anomaly: Report of an Experience with 57 Cases
Pages 101-110
The Relationship Between Basilar Invagination and Chiari Malformation Type I: A Narrative Review
Pages 111-118
Bony Decompression for Chiari Malformation Type I: Long-Term Follow-Up
Pages 119-124
Surgical Treatment in Symptomatic Chiari Malformation Type I: A Series of 25 Adult Patients Treated with Cerebellar Tonsil Shrinkage
Pages 125-131
Treatment of Holocord Syringomyelia–Chiari Complex by Posterior Fossa Decompression and a Syringosubarachnoid Shunt in a Single-Stage Single Approach
Pages 133-138
Surgical Treatment of Chiari Malformation in Adults: Comparison of Surgical Techniques Described in the Literature and Our Experience
Pages 139-143
The High Cervical Anterolateral Retropharyngeal Approach
Pages 147-149
Compression Syndromes of the Vertebral Artery at the Craniocervical Junction
Pages 151-158
The Far Lateral Approach to the Craniovertebral Junction: An Update
Pages 159-164
Endoscope-Assisted Far Lateral Approach to the Craniovertebral Junction with Neuronavigation: A Cadaver Laboratory Experience
Pages 165-169
Extreme Lateral Approach to the Craniovertebral Junction: An Update
Pages 171-174
The Extreme Lateral Approach to the Craniovertebral Junction: An Anatomical Study
Pages 175-178
Transoral Versus Transnasal Approach for Craniovertebral Junction Pathologies: Which Route Is Better?
Pages 181-186
The Endonasal Endoscopic Approach to Pathologies of the Anterior Craniocervical Junction: Analytical Review of Cases Treated at Four European Neurosurgical Centres
Pages 187-195
Endoscopic Endonasal Odontoidectomy and Posterior Fusion in a Single-Stage Surgery: Description of Surgical Technique and Outcome
Pages 197-207
Endoscopic Endonasal Approaches for Treatment of Craniovertebral Junction Tumours
Pages 209-224
The Endoscopic Endonasal Approach for Treatment of Craniovertebral Junction Pathologies: A Minimally Invasive but not Minimal-Risk Approach
Pages 225-228
Stability-Sparing Endoscopic Endonasal Odontoidectomy in a Malformative Craniovertebral Junction: Case Report and Biomechanical Considerations
Pages 229-233
Refinement of the Transoral Approach to Craniovertebral Junction Malformations
Pages 235-240
Occipitocervical Fusion
Pages 243-245
Occipitocervical Fusion: An Updated Review
Pages 247-252
Wiring or Screwing at the Craniovertebral Junction in Childhood: Past and Present Personal Experience
Pages 253-258
Retro-odontoid Degenerative Pseudotumour Causing Spinal Cord Compression and Myelopathy: Current Evidence on the Role of Posterior C1–C2 Fixation in Treatment
Pages 259-264
Insights into the Past and Future of Atlantoaxial Stabilization Techniques
Pages 265-271
Realignment of Basilar Invagination by C1–C2 Joint Distraction: A Modified Approach to a Paradigm Shift
Pages 273-277
Grisel’s Syndrome: Non-traumatic Atlantoaxial Rotatory Subluxation—Report of Five Cases and Review of the Literature
Pages 279-288
Odontoid Fusion
Pages 289-294
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