Book chapter
260 - Developmental Anomalies of the Craniovertebral Junction and Surgical Management
Youmans & Winn Neurological Surgery, pp.1957-1972.e3
Elsevier Inc, Eighth Edition
2023
DOI: 10.1016/B978-0-323-66192-8.00260-3
Abstract
The craniovertebral junction (CVJ) is a unique bony and musculoligamentous articulation involving the occipitoatlantoaxial complex. The embryological, anatomical, and biomechanical principles that underlie the CVJ articulation allow unique craniocervical movements and protect critical neurovascular structures. These principles also make the CVJ complex vulnerable to a wide variety of congenital and acquired pathologic disorders with varied clinical presentations. When indicated, craniocervical fusion can allow relief of neurological compression and rigid stabilization of the CVJ articulation complex. Preoperative planning involves dedicated static and dynamic imaging of bony, neural, and vascular aspect of the CVJ segment. Intraoperative adjuncts utilizing neuromonitoring, neuronavigation, neuromuscular blockade, and traction are often indicated. Successful osseous integration and internal stabilization are possible through creation of a stable biomechanical environment.
Details
- Title: Subtitle
- 260 - Developmental Anomalies of the Craniovertebral Junction and Surgical Management
- Creators
- Arnold H MenezesRaheel AhmedBrian J Dlouhy
- Resource Type
- Book chapter
- Publication Details
- Youmans & Winn Neurological Surgery, pp.1957-1972.e3
- Edition
- Eighth Edition
- Publisher
- Elsevier Inc
- DOI
- 10.1016/B978-0-323-66192-8.00260-3
- Language
- English
- Date published
- 2023
- Academic Unit
- Neurosurgery; Otolaryngology; Iowa Neuroscience Institute; Stead Family Department of Pediatrics
- Record Identifier
- 9984244859102771
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