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1 Introduction: Cervical Approaches, Access Ranges and Indications
2 Upper Cervical Spine: A Surgical Challenge—Past, Present, and Future
3 Subaxial Cervical Spine: Past, Present and Future
4 Concepts of Posterior Decompressive Surgery
5 Positioning for Anterior and Posterior Procedures
6 Surgical Anatomy of the Upper Cervical Spine and the Craniocervical Junction
7 Relevant Surgical Anatomy of the Anterior Cervical Spine, the High Retropharyngeal and the Subaxial Regions
8 Relevant Surgical Anatomy of the Posterior Subaxial Spine and the Cervicothoracic Junction
9 Surgical Approach: High Anterior Cervical
10 Surgical Approach: Anterolateral High Cervical Approach
11 Standard Transoral Approach to the Craniocervical Junction and Upper Cervical Spine
12 Combined Transoral and Transmandibular Approach: Labiomandibular Approach with or Without Glossotomy
13 Endonasal Approach to the Craniocervical Junction
14 Posterior Midline Approach C0–C2: How to Expose Meticulously with Less Bleeding
15 Surgical Approach: Posterior Far-Lateral Suboccipital Approach
16 Anterior Subaxial Approach
17 Anterolateral Approach to Subaxial Segment of the Cervical Vertebral Artery
18 Posterior Median Access to the Subaxial Spine
19 Transmanubrial Cervicothoracic Approach
20 Manubriotomy/Sternotomy Access to the Cervicothoracic Junction
21 Transoral Biopsy: Surgical Technique
22 Odontoid Fracture: Anterior Screw Fixation
23 C1–C2 Trans-Oral Release and Reduction
24 C1–C2 Anterior Transarticular Fixation and Grafting
25 Transoral Odontoidectomy for Decompression of Basilar Invagination
26 Transoral Odontoid Resection
27 Transoral Atlantoaxial and C2 Corpectomy Cage Reconstruction Techniques
28 Total Spondylectomy of C2
29 Congenital Muscular Torticollis Correction
30 Anterior Vertebral Artery Mobilization
31 C1-Ring Osteosynthesis for Unstable, Jefferson Burst Fractures
32 Occipital Condyle Screw Placement for Occipitocervical Fixation
33 Upper Cervical Techniques: Pediatric Wiring
34 Upper Cervical: Occipital Cervical Fixation—Median, Lateral and Multihole
35 Atlantoaxial Instability: Strategy for Treatment
36 Posterior Transarticular Screw Fixation C1-C2
37 Transarticular Screw C1-C2 Fixation: Minimal Invasive with Percutaneous Screw Placement
38 C1 Lateral Mass Screw Fixation
39 Surgical Techniques: Upper Cervical—C2 Pedicle Screw Fixation Technique
40 C1 Posterior Arch Screw Fixation
41 C1 Translaminar Screw Fixation
42 Posterior C1–C2 Fusion with the C1 Claw Device
43 C2 Laminar Screw Fixation
44 Upper Cervical Spine-Posterior Cage Reconstruction C1–C2
45 C1 Posterior Arch Laminoplasty
46 Anterior Cervical Foraminotomy
47 Anterior Decompression: Discectomy and Uncotomy–Open Technique
48 Microscopic Anterior Cervical Decompression
49 Oblique Corpectomy
50 Anterior Cervical Corporectomy and Fusion
51 Anterior Transpedicular Screw Plate Fixation
52 Surgical Technique for a Cervical Disc Arthroplasty
53 Surgical Technique, Subaxial Spine: Cervical Disc Replacement Revision Surgery
54 Subaxial Cervical Reconstruction of Multilevel Corpectomies and Skip Corpectomies
55 Anterior Reconstruction with Microvascular Grafts
56 Corpectomy: Floating Method for OPLL
57 Subaxial Cervical Spondylectomy
58 Cervical Rib Resection
59 Halo-Ring and Halo-Vest Fixation and Treatment: Adult and Pediatric Patients
60 Technique of Cervical Traction
61 Posterior Cervical Foraminotomy
62 Posterior Microdiscectomy
63 Expansive Open-Door Laminoplasty for Cervical Myelopathy
64 French-Door Laminoplasty for Cervical Compressive Myelopathy
65 Laminectomy with Fusion for Cervical Spondylotic Myelopathy
66 Selective Cervical Laminectomy of Limited Width by Muscle-Sparing Technique Using Anatomical Plane Exposures
67 Cervical Hook Fixation
68 Pedicle Screw Fixation in Cervical Spine
69 Percutaneous Pedicle Screw Fixation in the Cervical Subaxial Spine
70 Surgical Techniques: Subaxial Cervical—Modified Subaxial Paramedian Transpedicular Approach and Reconstruction
71 Lateral Mass Screw Fixation
72 Surgical Techniques: Sublaminar Wiring for Long Posterior Fixation
73 Reduction of Locked Cervical Facets: Manual, Anterior Open, Posterior Open
74 Surgical Technique: Posterior Subaxial Cervical Spine, Subaxial Transarticular Screw Fixation
75 Surgical Techniques–Subaxial Cervical: Upper Thoracic Pedicle Screw Fixation
76 Management of Anterior Durotomy in Cervical Spine
77 Cervical Posterior Durotomy Repair
78 Treatment of Acute Vertebral Artery Injury (VAI)
79 Treatment of Pharyngoesophageal Injuries in Cervical Spine Surgery
80 Cervical and Cervicothoracic Osteotomies: Introduction Concepts, Planning, and Performance
81 Ponte Osteotomy
82 Surgical Techniques: Cervical Osteotomies—Anterior Osteotomy With/Without Corpectomy
83 Surgical Techniques: Cervical Osteotomies: Modified Cervical SPO
84 C7 Pedicle Subtraction Osteotomy (PSO)
85 Osteotomy Techniques for the Cervical Spine: Correction Within the Sagittal and Coronal Plane Including Halo Traction
86 Surgical Technique: Correction of Cervical Scoliosis and Hemivertebra Resection
87 Correction of Cervical Kyphosis in Pediatric Skeletal Dysplasia Patients
88 Cervical Osteotomies: High Thoracic Three-Column Osteotomies for Kyphosis Correction
89 Surgical Techniques: Cervical Osteotomies—High Thoracic VCR for Kyphoscoliosis Correction
90 Intradural Extramedullary Cervical Spine Tumors (IECST)
91 Surgical Strategy for Resection of Intramedullary Tumors
92 Vascular Malformation in the Cervical Spine

This comprehensive, up-to-date textbook of modern cervical spine surgery describes the standard and advanced techniques recommended by the Cervical Spine Research Society – European Section (CSRS-E) with a view to enabling both young and experienced surgeons to further develop their skills and improve their surgical outcomes. Success in cervical spine surgery depends on the surgeon’s awareness of the main challenges posed by distinct cervical spine diseases, theoretical understanding of treatment concepts, and knowledge of technical options and the related potential for complications. It is the surgeon who has to merge theory and practice to achieve the desired outcome, in each case appraising the details of surgical anatomy and weighing the challenges and complications associated with a surgical technique against the skills that he or she possesses. This excellently illustrated book, written by key opinion makers from the CSRS-E with affiliated surgeons as co-authors, presents the full range of approaches and techniques and clearly identifies indications, precautions, and pitfalls. It will be a superb technical reference for all cervical spine surgeons, whether orthopaedic surgeons or neurosurgeons.

• Offers comprehensive, up-to-date information and guidance for all cervical spine surgeons
• Describes the standard and advanced techniques recommended by the CSRS – European Section (CSRS-E)
• Written by key opinion makers from the CSRS-E, in collaboration with affiliated surgeons

• Heiko Koller is Head of the Spine and Scoliosis Center at Schön Clinics Vogtareuth in the South of Germany. Prof.Koller’s work is dedicated to the treatment and research of patients with spinal deformity at all levels both in very young or adolescent patients as well as adult deformity patients. He is board member of the Cervical Spine Research Society - Europe since 2012 and he is also engaged in the German Spine Society. He received several awards for his research and is lead or co-author in more than 100 article or book chapters.
• Yohan Robinson is Head of Medical Research at the Armed Forces Centre of Defence Medicine in Gothenburg, Sweden. He is Associate Professor at Uppsala University Hospital, Sweden.
He was trained at Charité - University Hospital Berlin, Germany, where he undertook multi-trauma research at the Center for Trauma and Reconstructive Surgery. In 2008 Dr. Robinson moved to Uppsala
University Hospital, Sweden, as orthopaedic spine surgeon. He has educational responsibility in medical undergraduate and postgraduate programs, and is supervisor for PhD students and international spine surgery fellows. In 2018 he completed his MBA in International Healthcare Management with a thesis on cost-effectiveness of cervical disc replacement over anterior cervical fusion.
Dr. Robinson joined the Cervical Spine Research Society - Europe in 2010 where he currently serves as Chair of the Programme Committee.