Anatomy of the craniocervical junction - A review

被引:1
作者
Charbonneau, Laurence [1 ]
Watanabe, Kentaro [2 ]
Chaalala, Chiraz [1 ]
Bojanowski, Michel W. [1 ]
Lavigne, Philippe [3 ]
Labidi, Moujahed [1 ]
机构
[1] Univ Montreal, Dept Surg, Div Neurosurg, Quebec City, PQ, Canada
[2] Tokyo Jikei Univ, Dept Neurosurg, Sch Med, Tokyo, Japan
[3] Univ Montreal, Dept Surg, Div Otorhinolaryngol, Quebec City, PQ, Canada
关键词
Anatomy; Craniocervical junction; Vertebral artery; Skull base surgery; ENDOSCOPIC ENDONASAL APPROACH; CEREBROSPINAL-FLUID LEAK; FAR-LATERAL APPROACH; FORAMEN-MAGNUM; MICROSURGICAL ANATOMY; CRANIOVERTEBRAL JUNCTION; TRANSCONDYLAR APPROACH; EXTRADURAL ORIGIN; ANTERIOR PORTION; BASE;
D O I
10.1016/j.neuchi.2023.101511
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An in-depth understanding of the anatomy of the craniocervical junction (CCJ) is indispensable in skull base neurosurgery. In this paper, we discuss the osteology of the occipital bone, the atlas (C1) and axis (C2), the ligaments and the muscle anatomy of the CCJ region and their relationships with the vertebral artery. We will also discuss the trajectory of the vertebral artery and review the anatomy of the jugular foramen and lower cranial nerves (IX to XII). The most important surgical approaches to the CCJ, including the far lateral approach, the anterolateral approach of Bernard George and the endoscopic endonasal approach, will be discussed to review the surgical anatomy.
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页数:12
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