Related Experiment Video
Updated: Dec 31, 2025
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
Endoscope-assisted anterolateral approach to a recurrent cervical spinal chordoma
L Giammattei1,2, P di Russo3, N Penet3,4
1Neurosurgical Department, Lariboisière Hospital, Paris, France. lore1985nch@gmail.com.
Background:
The anterolateral approach (ALA) enables to access the craniovertebral junction (CVJ), lower and middle clivus, jugular foramen, and cervical spine from a lateral perspective. It is particularly indicated when dealing with extradural bone tumors. Other rare indications are represented by spondylotic myeloradiculopathy and vascular diseases.
Method:
We describe here the steps to safely perform an anterolateral approach along with a brief description of its indications and limits.
Conclusion:
ALA represents a valid option to treat cervical spine and CVJ bone tumors such as chordomas. Its knowledge can improve the process of approach selection when dealing with such complex cases.
