Full-Endoscopic Transcervical Ventral Decompression for Pathologies of Craniovertebral Junction: Case Series

被引：12

作者：

Ohara, Yukoh ^{[1
,2
,3
]}

Nakajima, Yasuhiro ^{[4
]}

Kimura, Takaoki ^{[3
]}

Kikuchi, Nahoko ^{[3
]}

Sagiuchi, Takao ^{[5
]}

机构：

[1] Juntendo Univ, Dept Neurosurg, Tokyo, Japan

[2] Juntendo Univ Hosp, Spine & Spinal Cord Ctr, Nagoya, Aichi, Japan

[3] Shin Yurigaoka Gen Hosp, Ctr Minimally Invas Spinal Surg, Kawasaki, Kanagawa, Japan

[4] Daido Hosp, Dept Neurosurg, Nagoya, Aichi, Japan

[5] IMS Fujimidai Gen Hosp, Dept Neurosurg, Saitama, Japan

来源：

NEUROSPINE | 2020年 / 17卷

关键词：

Craniovertebral junction; Atlantoaxial dislocation; Full-endoscopic transcervical decompression; LABIOMANDIBULAR GLOSSOTOMY APPROACH; ODONTOIDECTOMY; OSTEOTOMY;

D O I：

10.14245/ns.2040172.086

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Odontoidectomy is very effective for the decompression of the ventral craniovertebral junction (CVJ). Various approaches are available for the direct ventral decompression of the CVJ. Because there are many disadvantages of open transoral approach, endoscopic odontoidectomy was developed. 1 here are 3 approaches in endoscopic odontoidectomy. We report transcervical retropharyngeal endoscopic approach for the ventral CVJ in this paper. 'lhree patients with different pathologies received operations using this approach. Me decompression was enough and surgical invasion was less in all patients. Each endoscopic approach has some advantages and different working regions due to their approach trajectories, but transcervical retropharyngeal approach is very familiar for our neurospinal surgeons and has a relatively large working area. 'phis approach might have the chance to take the place of open transoral approach for endoscopic spinal surgeons.

引用

页码：S138 / S144

页数：7

共 20 条

[1] COMBINED TRANSORAL AND MEDIAN LABIOMANDIBULAR GLOSSOTOMY APPROACH TO THE UPPER CERVICAL-SPINE
ARBIT, E
PATTERSON, RH
[J]. NEUROSURGERY, 1981, 8 (06) : 672 - 674
[2] Median labiomandibular glossotomy approach to the craniocervical region
Brookes, James T.
Smith, Richard J. H.
Menezes, Arnold H.
Smith, M. C.
[J]. CHILDS NERVOUS SYSTEM, 2008, 24 (10) : 1195 - 1201
[3] Endoscopic Image-Guided Transcervical Odontoidectomy: Outcomes of 15 Patients With Basilar Invagination
Dasenbrock, Hormuzdiyar H.
Clarke, Michelle J.
Bydon, Ali
Sciubba, Daniel M.
Witham, Timothy F.
Gokaslan, Ziya L.
Wolinsky, Jean-Paul
[J]. NEUROSURGERY, 2012, 70 (02) : 351 - 359
[4] Evolution of transoral approaches, endoscopic endonasal approaches, and reduction strategies for treatment of craniovertebral junction pathology: a treatment algorithm update
Dlouhy, Brian J.
Dahdaleh, Nader S.
Menezes, Arnold H.
[J]. NEUROSURGICAL FOCUS, 2015, 38 (04) : 1 - 16
[5] Minimally invasive anterior approach to upper cervical spine - Surgical technique
Fong, S
DuPlessis, SJ
[J]. JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2005, 18 (04): : 321 - 325
[6] Endoscopically assisted transoral-transpharyngeal approach to the craniovertebral junction
Frempong-Boadu, AK
Faunce, WA
Fessler, RG
[J]. NEUROSURGERY, 2002, 51 (05) : S60 - S66
[7] Kanavel AB, 1917, Surg Clin Chicago, V1, P361
[8] The expanded endonasal approach: A fully endoscopic transnasal approach and resection of the odontoid process: Technical case report
Kassam, AB
Snyderman, C
Gardner, P
Carrau, R
Spiro, R
[J]. NEUROSURGERY, 2005, 57 (01) : 213 - 214
[9] LIMITS OF THE TRANSORAL APPROACH IN CRANIOSPINAL MALFORMATIONS
LABORDE, G
GILSBACH, J
BERTALANFFY, H
HARDERS, A
HARDENACK, M
[J]. SKULL BASE SURGERY, 1992, 2 (01): : 6 - 10
[10] Endoscopic endonasal transclival transodontoid approach for ventral decompression of the craniovertebral junction: operative technique and nuances
Liu, James K.
Patel, Jimmy
Goldstein, Ira M.
Eloy, Jean Anderson
[J]. NEUROSURGICAL FOCUS, 2015, 38 (04) : 1 - 8

← 1 2 →