Abstract
Object. The high anterior cervical, retropharyngeal approach to the anterior foramen magnum and upper cervical spine is a favorable alternative to the transoral and posterolateral approaches, which both cause instability of the craniovertebral junction. Previously, such instability was corrected via an occipitocervical fusion during a separate surgical procedure. Methods. Seven patients requiring C-2 corpectomy (foramen magnum meningioma [two patients], critical stenosis secondary to rheumatoid arthritis [two patients], C-2 fracture [two patients], and stenosis secondly to Rickets [one patient]) are presented. All patients underwent C1-3 fusion followed by instrumentation with a Caspar plate. A solid fusion was achieved in six patients. One patient experienced erosion of the anterior arch of C-1 requiring posterior stabilization. Conclusions. Fusion and instrumentation at C1-3 can be performed safely and with minimal increase in surgical time. In selected patients, this may eliminate the need for an additional posterior procedure and maintain occipital-C1 mobility.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 24-29 |
| Number of pages | 6 |
| Journal | Journal of Neurosurgery |
| Volume | 92 |
| Issue number | 1 SUPPL. |
| State | Published - Jan 1 2000 |
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Keywords
- Anterior C1-3 arthrodesis
- Caspar plate
- Craniovertebral junction
- Foramen magnum
- Transcervical approach
ASJC Scopus subject areas
- Clinical Neurology
- Neuroscience(all)
Cite this
Fusion and instrumentation at C1-3 via the high anterior cervical approach. / Vender, John R; Harrison, Steven J.; McDonnell, Dennis E.
In: Journal of Neurosurgery, Vol. 92, No. 1 SUPPL., 01.01.2000, p. 24-29.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Fusion and instrumentation at C1-3 via the high anterior cervical approach
AU - Vender, John R
AU - Harrison, Steven J.
AU - McDonnell, Dennis E.
PY - 2000/1/1
Y1 - 2000/1/1
N2 - Object. The high anterior cervical, retropharyngeal approach to the anterior foramen magnum and upper cervical spine is a favorable alternative to the transoral and posterolateral approaches, which both cause instability of the craniovertebral junction. Previously, such instability was corrected via an occipitocervical fusion during a separate surgical procedure. Methods. Seven patients requiring C-2 corpectomy (foramen magnum meningioma [two patients], critical stenosis secondary to rheumatoid arthritis [two patients], C-2 fracture [two patients], and stenosis secondly to Rickets [one patient]) are presented. All patients underwent C1-3 fusion followed by instrumentation with a Caspar plate. A solid fusion was achieved in six patients. One patient experienced erosion of the anterior arch of C-1 requiring posterior stabilization. Conclusions. Fusion and instrumentation at C1-3 can be performed safely and with minimal increase in surgical time. In selected patients, this may eliminate the need for an additional posterior procedure and maintain occipital-C1 mobility.
AB - Object. The high anterior cervical, retropharyngeal approach to the anterior foramen magnum and upper cervical spine is a favorable alternative to the transoral and posterolateral approaches, which both cause instability of the craniovertebral junction. Previously, such instability was corrected via an occipitocervical fusion during a separate surgical procedure. Methods. Seven patients requiring C-2 corpectomy (foramen magnum meningioma [two patients], critical stenosis secondary to rheumatoid arthritis [two patients], C-2 fracture [two patients], and stenosis secondly to Rickets [one patient]) are presented. All patients underwent C1-3 fusion followed by instrumentation with a Caspar plate. A solid fusion was achieved in six patients. One patient experienced erosion of the anterior arch of C-1 requiring posterior stabilization. Conclusions. Fusion and instrumentation at C1-3 can be performed safely and with minimal increase in surgical time. In selected patients, this may eliminate the need for an additional posterior procedure and maintain occipital-C1 mobility.
KW - Anterior C1-3 arthrodesis
KW - Caspar plate
KW - Craniovertebral junction
KW - Foramen magnum
KW - Transcervical approach
UR - http://www.scopus.com/inward/record.url?scp=0033962841&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033962841&partnerID=8YFLogxK
M3 - Article
C2 - 10616054
AN - SCOPUS:0033962841
VL - 92
SP - 24
EP - 29
JO - Journal of Neurosurgery
JF - Journal of Neurosurgery
SN - 0022-3085
IS - 1 SUPPL.
ER -