SURGERY OF THE CRANIO-VERTEBRAL JUNCTION

1. Relevant Anatomy of the Craniovertebral Junction
2. Surgical Anatomy of the Vertebral Artery at Craniovertebral Junction Level
3. Radiological Assessment of the Craniovertebral Junction
4. Biomechanics of the CVJ
5. Sagittal Balance Concept Applied to the Craniovertebral Junction
6. Surgical Positioning
7. Neuroanesthetic Considerations for Patients Undergoing Posterior Fossa and Craniovertebral Junction Surgery
8. Perioperative Management: Surgical Site Infection Prevention, DVT Prophylaxis, and Blood Loss Management
9. Surgery of the Cranio-Vertebral Junction: Image Guidance, Navigation, and Augmented Reality
10. Open Transoral Approach
11. Endoscopic Transnasal Approach
12. Odontoid Screw Fixation and Anterior C1-C2 Fixation Techniques
13. Atlanto-Axial Fixation Techniques
14. Occipito-Cervical Fixation Techniques
15. Far Lateral Transcondylar Transtubercular Approach
16. Anterolateral and Extreme Lateral Approaches
17. Minimally Invasive Techniques Applied to the Cranio-Vertebral Junction
18. Endovascular Approaches: Indications and Techniques
19. Craniovertebral Junction Instability and Mechanisms of Injury
20. Classification and Radiological Assessment of CVJ Trauma
21. Surgical Decision-Making in Cranio-Vertebral Junction Trauma: A Case Illustrated Chapter
22. Management of Retro-Odontoid Pseudotumor
23. Classification and Radiological Assessment of CVJ Tumors
24. Primary Osseous and Metastatic Neoplasms of the CVJ
25. Intramedullary Tumors of the Cervicomedullary Junction
26. The Anterior (Endoscopic Endonasal) Approach and Outcomes for Foramen Magnum Tumors
27. Foramen Magnum Tumours: Posterior Approaches and Outcome
28. Surgery Involving the Vertebral Artery at the Cranio-vertebral Junction
29. Management of Aneurysms and AVMs at the Cranio-vertebral Junction
30. Posterior Fossa Revascularization Options at the Cranio-vertebral Junction
31. Management of Cavernous Malformation of the Cervicomedullary Junction
32. Management of Chiari Malformation
33. Congenital Anomalies of Cranio-vertebral Junction
34. Infections at the Cranio-vertebral Junction
35. Rheumatoid Cervical Myelopathy

This book provides a unique tool for approaching cranio-vertebral junction (CVJ) surgery. Following a brief introduction to the relevant anatomy and biomechanics of CVJ, it explores the field of cranio-vertebral junction lesions and their management. Furthermore, individual chapters cover endovascular surgery, endoscopic skull base techniques, navigation and robotics, ensuring that surgeons stay up-to-date. A chapter addressing the consequences of CVJ surgery with regard to sagittal balance is of particular importance. The book is structured according both to the type of lesion involving the CVJ (tumor, trauma), and to the type of surgical approach (anterior, posterior). Further, it reflects innovative treatment modalities that have improved patient safety and efficacy rates for surgery involving the CVJ, and covers both open and minimally invasive surgical methods, enabling surgeons to hone their skills in both areas.

Features
• Presents an entire spectrum of pathologies involving the cranio-cervical junction
• Focuses on principles of surgical techniques, both open and minimally invasive
• Provides numerous case illustrations
• Discusses the management of major complications