Fusion and instrumentation at C1-3 via the high anterior cervical approach

John R Vender, Steven J. Harrison, Dennis E. McDonnell

Research output: Contribution to journalArticle

36 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)24-29
Number of pages6
JournalJournal of Neurosurgery
Volume92
Issue number1 SUPPL.
StatePublished - Jan 1 2000

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Foramen Magnum
Pathologic Constriction
Rickets
Meningioma
Operative Time
Rheumatoid Arthritis
Spine

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 journalArticle

Vender, JR, Harrison, SJ & McDonnell, DE 2000, 'Fusion and instrumentation at C1-3 via the high anterior cervical approach', Journal of Neurosurgery, vol. 92, no. 1 SUPPL., pp. 24-29.
Vender, John R ; Harrison, Steven J. ; McDonnell, Dennis E. / Fusion and instrumentation at C1-3 via the high anterior cervical approach. In: Journal of Neurosurgery. 2000 ; Vol. 92, No. 1 SUPPL. pp. 24-29.
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