Home | About JCVJS | Editorial board | Ahead of print | Current Issue | Archives | Instructions | Subscribe | Advertise | Contact us |   Login 
Journal of Craniovertebral Junction and Spine
Search Articles   
Advanced search   
Year : 2010  |  Volume : 1  |  Issue : 1  |  Page : 49-54

Dorsal approaches to intradural extramedullary tumors of the craniovertebral junction

Center for Spine Health, Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH - 441 95, USA

Correspondence Address:
E C Benzel
Cleveland Clinic, Neurological Institute, 9500 Euclid Avenue, S40, Cleveland, OH - 441 95
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-8237.65482

Rights and Permissions

Tumors of the craniovertebral junction (CVJ) pose significant challenges to cranial and spine surgeons. Familiarity with the complex anatomy and avoidance of injury to neurologic and vascular structures are essential to success. Multiple surgical approaches to address lesions at the CVJ have been promoted, including ventral and dorsal-based trajectories. However, optimal selection of the surgical vector to manage the pathology requires a firm understanding of the limitations and advantages of each approach. The selection of the best surgical trajectory must include several factors, such as obtaining the optimal exposure of the region of interest, avoiding injury to critical neurologic or vascular structures, identification of normal anatomical landmarks, the familiarity and comfort level of the surgeon to the approach, and the need for fixation. This review article focuses on dorsal approaches to the CVJ and the advantages and limitations in managing intradural extramedullary tumors.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded233    
    Comments [Add]    
    Cited by others 5    

Recommend this journal