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How I do it? Cranial setup for cranial settling.

Eugenio Cárdenas Ruiz-Valdepeñas¹, A Kaen², G Perez Prat²

¹Department of Neurological Surgery, Hospital Virgen Del Rocío, Avenida Manuel siurot s/n 41013, Sevilla, Spain. eugeniocarde@hotmail.com.

Acta Neurochirurgica

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Summary

This summary is machine-generated.

Expanded endoscopic endonasal techniques enable odontoidectomy and craniocervical junction release for giant basilar invagination, restoring sagittal balance before fusion.

Keywords:

Basilar impression Basilar invagination Cranial settling Dens Endonasal Endoscopic Odontoid process Odontoidectomy

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Area of Science:

Neurosurgery
Spine Surgery
Endoscopic Skull Base Surgery

Background:

Endoscopic endonasal techniques are expanding for odontoid process and craniocervical junction pathologies.
Giant basilar invagination presents significant surgical challenges.

Purpose of the Study:

To detail the technical nuances of endoscopic endonasal odontoidectomy.
To describe craniocervical junction release for restoring sagittal balance in giant basilar invagination.

Main Methods:

Description of endoscopic endonasal odontoidectomy and craniocervical junction release.
Cadaveric dissections to clarify surgical steps.

Main Results:

Successful treatment of irreducible basilar invagination.
Restoration of improved sagittal balance.

Conclusions:

Endonasal endoscopic odontoidectomy and craniocervical junction release are effective for irreducible basilar invagination.
This approach facilitates sagittal balance restoration prior to posterior cervical fusion.