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Relevant Anatomy of the Craniovertebral Junction
Pages 3-42
This book provides a unique tool for approaching cranio-vertebral junction (CVJ) surgery. Following a brief introduction to the relevant anatomy and biomechanics of CVJ, it explores the field of cranio-vertebral junction lesions and their management. Furthermore, individual chapters cover endovascular surgery, endoscopic skull base techniques, navigation and robotics, ensuring that surgeons stay up-to-date. A chapter addressing the consequences of CVJ surgery with regard to sagittal balance is of particular importance. The book is structured according both to the type of lesion involving the CVJ (tumor, trauma), and to the type of surgical approach (anterior, posterior). Further, it reflects innovative treatment modalities that have improved patient safety and efficacy rates for surgery involving the CVJ, and covers both open and minimally invasive surgical methods, enabling surgeons to hone their skills in both areas.
Relevant Anatomy of the Craniovertebral Junction
Pages 3-42
Surgical Anatomy of the Vertebral Artery at Craniovertebral Junction Level
Pages 43-59
Radiological Assessment of the Craniovertebral Junction
Pages 61-85
Biomechanics of the CVJ
Pages 87-94
Sagittal Balance Concept Applied to the Craniovertebral Junction
Pages 95-108
Surgical Positioning
Pages 111-116
Neuroanesthetic Considerations for Patients Undergoing Posterior Fossa and Craniovertebral Junction Surgery
Pages 117-124
Perioperative Management: Surgical Site Infection Prevention, DVT Prophylaxis, and Blood Loss Management
Pages 125-138
Surgery of the Cranio-Vertebral Junction: Image Guidance, Navigation, and Augmented Reality
Pages 139-155
Open Transoral Approach
Pages 159-169
Endoscopic Transnasal Approach
Pages 171-186
Odontoid Screw Fixation and Anterior C1-C2 Fixation Techniques
Pages 187-196
Atlanto-Axial Fixation Techniques
Pages 197-206
Occipito-Cervical Fixation Techniques
Pages 207-217
Far Lateral Transcondylar Transtubercular Approach
Pages 219-235
Anterolateral and Extreme Lateral Approaches
Pages 237-260
Minimally Invasive Techniques Applied to the Cranio-Vertebral Junction
Pages 261-273
Endovascular Approaches: Indications and Techniques
Pages 275-288
Craniovertebral Junction Instability and Mechanisms of Injury
Pages 291-305
Classification and Radiological Assessment of CVJ Trauma
Pages 307-318
Surgical Decision-Making in Cranio-Vertebral Junction Trauma: A Case Illustrated Chapter
Pages 319-326
Management of Retro-Odontoid Pseudotumor
Pages 327-333
Classification and Radiological Assessment of CVJ Tumors
Pages 335-352
Primary Osseous and Metastatic Neoplasms of the CVJ
Pages 353-365
Intramedullary Tumors of the Cervicomedullary Junction
Pages 367-393
The Anterior (Endoscopic Endonasal) Approach and Outcomes for Foramen Magnum Tumors
Pages 395-402
Foramen Magnum Tumours: Posterior Approaches and Outcome
Pages 403-412
Surgery Involving the Vertebral Artery at the Cranio-vertebral Junction
Pages 413-429
Management of Aneurysms and AVMs at the Cranio-vertebral Junction
Pages 431-452
Posterior Fossa Revascularization Options at the Cranio-vertebral Junction
Pages 453-466
Management of Cavernous Malformation of the Cervicomedullary Junction
Pages 467-481
Management of Chiari Malformation
Pages 483-499
Congenital Anomalies of Cranio-vertebral Junction
Pages 501-523
Infections at the Cranio-vertebral Junction
Pages 525-543
Rheumatoid Cervical Myelopathy
Pages 545-564
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