Advanced Center of Neurology and Neurosurgery (CEANNE), Grupo Hospitalar Conceicao, Porto Alegre, Brazil.
Department of Neurosurgery, Hospital Unimed Vale do Sinos, Novo Hamburgo, Brazil.
Br J Neurosurg. 2024 Oct;38(5):1193-1198. doi: 10.1080/02688697.2022.2086966. Epub 2022 Jun 16.
Surgery to expose the anterior occiptocervical junction (OCJ) is exacting, and optimal approaches are debatable. The close proximity of vital structures and difficult surgical access present a unique challenge to treat lesions in this area. Routine access to the upper anterior cervical spine remains limited. The authors present a modified retropharyngeal approach and instrumentation in order to resect an exceptionally rare atypical rhabdoid teratoid tumor involving the craniovertebral junction. The technical aspects of this approach in anatomical perspectives are discussed in this article.
暴露前枕颈交界区（OCJ）的手术要求很高，而最佳入路仍存在争议。由于重要结构毗邻，且手术入路困难，因此治疗该区域病变极具挑战性。常规入路难以到达上颈椎前方。作者提出了一种改良的经咽后入路和内固定方法，以切除极为罕见的颅颈交界区非典型横纹肌样畸胎瘤。本文从解剖学角度讨论了该入路的技术要点。
