THE FAR-LATERAL APPROACH is an extension of the standard suboccipital approach, designed to maximize exposure of the lateroventral craniocervical junction. Following a basic principle of cranial base surgery, the angle of view is increased by bone removal. Bone removal involves the most lateral part of the inferior occipital squama and the posterior arch of C1. Drilling of various portions of the occipital condyle further increases the exposure. Transposition of the vertebral artery is seldom required. The far-lateral approach allows a tangential, unobstructed view of the lateroventral cervicomedullary area and can be applied effectively to manage with a heterogeneous spectrum of pathological lesions involving this area. The technical aspects of the procedure are briefly illustrated in this report.

FAR-LATERAL APPROACH TO THE CRANIOCERVICAL JUNCTION / Giuseppe, Lanzino; Paolini, Sergio; Robert F., Spetzler. - In: NEUROSURGERY. - ISSN 0148-396X. - 57:4(2005), pp. 367-370. [10.1227/01.neu.0000176848.05925.80]

FAR-LATERAL APPROACH TO THE CRANIOCERVICAL JUNCTION

PAOLINI, SERGIO;
2005

Abstract

THE FAR-LATERAL APPROACH is an extension of the standard suboccipital approach, designed to maximize exposure of the lateroventral craniocervical junction. Following a basic principle of cranial base surgery, the angle of view is increased by bone removal. Bone removal involves the most lateral part of the inferior occipital squama and the posterior arch of C1. Drilling of various portions of the occipital condyle further increases the exposure. Transposition of the vertebral artery is seldom required. The far-lateral approach allows a tangential, unobstructed view of the lateroventral cervicomedullary area and can be applied effectively to manage with a heterogeneous spectrum of pathological lesions involving this area. The technical aspects of the procedure are briefly illustrated in this report.
2005
01 Pubblicazione su rivista::01a Articolo in rivista
FAR-LATERAL APPROACH TO THE CRANIOCERVICAL JUNCTION / Giuseppe, Lanzino; Paolini, Sergio; Robert F., Spetzler. - In: NEUROSURGERY. - ISSN 0148-396X. - 57:4(2005), pp. 367-370. [10.1227/01.neu.0000176848.05925.80]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/439761
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