Oblique transcorporeal approach to anteriorly located lesions in the cervical spinal canal.
The technique of obliquely drilling out the postero-lateral part of the cervical vertebral bodies is described. It uses the antero-lateral (retro carotico-jugular) approach to control and displace the vertebral artery postero-laterally and to expose the lateral aspect of the vertebral bodies. It provides, through a wide field and with minimal retraction of the carotid artery and the internal jugular vein, an extensive view of the anterior aspect of the spinal cord. It has already been used to treat 15 anterior lesions compressing the spinal cord including neurinomas and osteophytes.
Department of Neurosurgery, Hôpital Lariboisière, Paris, France.
B
B
George
M
M
Zerah
G
G
Lot
M
M
Hurth
D016025:Bone Transplantation / Q000379:methods; D002574:Cervical Vertebrae / Q000601:surgery*; D015174:Epidural Neoplasms / Q000601:surgery*; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D009442:Neurilemmoma / Q000601:surgery*; D013117:Spinal Cord Compression / Q000601:surgery*; D013128:Spinal Osteophytosis / Q000601:surgery*; D014711:Vertebral Artery / Q000601:surgery