Posterolateral Approach to the Cranio-Vertebral Junction: How, When and Why
Alessandro Landi*, Demo Eugenio Dugoni and Roberto Delfini
Department of Neurology and Psychiatry, Division of Neurosurgery, Sapienza University of Rome, Italy
- *Corresponding Author:
- Alessandro Landi, MD PhD
Department of Neurology and Psychiatry
Division of Neurosurgery, Sapienza University of Rome
Viale del Policlinico 155, 00161 Rome
E-mail: [email protected]
Received date: March 22, 2016; Accepted date: May 16, 2016; Published date: May 18, 2016
Citation: Landi A, Dugoni ED and Delfini R (2016) Postero-lateral Approach to the Cranio-vertebral Junction: How, When and Why? . J Spine 5:303. doi:10.4172/2165-7939.1000303
Copyright: © 2016 Landi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
To date the posterolateral approach represents the best strategy for the surgery of the intradural ventro-lateral lesions of the cranio-vertebral junction (CVJ). Over the years, several authors have proposed different variations of this technique, but the principle on which all are based is the ability to access to the ventral region of the brainstem and high cervical cord with minimum retraction and maximum control of the neuro-vascular structures. However, comorbidity related to the surgical procedure is still very high. Posterolateral approach is actually considered the best technique to approach the intradural ventrolateral lesions located at the CVJ. Because the peculiarity of the CVJ, surgeons must know very well the anatomy of this region. Due to the high comorbidity of this approach a very precise surgical planning based on the characteristics of the lesion is required to correctly treat this particular anatomical region to manage correctly the pathology and to prevent any complications.