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Fully endoscopic transoral resection of high cervical osteophyte. How I do it?
Pablo Sanromán-Álvarez1, Pedro González-Vargas2, José Luis Rodríguez-Fernández3
1Department of Neurological Surgery, Hospital Álvaro Cunqueiro, Clara Campoamor st. 341, 36213, Vigo, Spain. sanroman.alvarez@gmail.com.
Background:
Fully endoscopic transoral approaches (FETOA) constitute a reasonable option for the treatment of middling compressive pathology that involve the craniocervical junction and higher cervical levels.
Methods:
We describe, step by step, the FETOA for the treatment of upper cervical lesions. More specifically, the ones that are located between C1 and C3. A giant anterior C1-C2 osteophyte resection will be used as an illustration of these approaches.
Conclusions:
This technique represents a minimally invasive treatment option for these kinds of high cervical lesions. It offers optimal visualization, maximizing the resection of these lesions and decreasing the morbidity and mortality.

