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Updated: May 5, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

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Published on: September 16, 2022

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

Summary

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

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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.