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Technical advances in pediatric craniovertebral junction surgery

Mark E Oppenlander1, James Kalyvas, Volker K H Sonntag

  • 1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 W Thomas Rd, Phoenix, AZ, 85013, USA.

Advances and Technical Standards in Neurosurgery
|November 23, 2013
PubMed

Insights

Pediatric craniovertebral junction surgery presents challenges. Technical advances, including posterior approaches and intraoperative monitoring, enhance safety and improve patient outcomes in these complex cases.

Area of Science:

  • Neurosurgery
  • Pediatric Orthopedics
  • Spinal Surgery

Background:

  • Craniovertebral junction (CVJ) surgery in children is complex.
  • The posterior approach is the standard for arthrodesis.
  • Anterior fixation or decompression may be necessary.

Purpose of the Study:

  • To review technical advances in pediatric CVJ surgery.
  • To highlight improvements in patient outcomes.
  • To discuss the gold standard posterior approach.

Main Methods:

  • Review of technical advancements in CVJ surgery.
  • Discussion of intraoperative image guidance.
  • Emphasis on neurophysiological monitoring.

Main Results:

  • Posterior approach is the gold standard for arthrodesis.
  • Image guidance and neurophysiological monitoring increase safety and efficacy.
  • Technical advances have led to better patient outcomes.

Conclusions:

  • Pediatric CVJ surgery requires specialized techniques.
  • Advancements in surgical approaches and monitoring have improved outcomes.
  • The posterior approach remains crucial for arthrodesis.

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