Department of Neurosurgery, Faculty of Medicine, Geneva University Hospital, Rue Gabrielle Perret Gentil 4, 1205, Geneva, Switzerland.
Department of Neurosurgery, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Acta Neurochir (Wien). 2023 Oct;165(10):3027-3038. doi: 10.1007/s00701-023-05769-2. Epub 2023 Sep 2.
The cranio-vertebral junction (CVJ) was formerly considered a surgical "no man's land" due to its complex anatomical and biomechanical features. Surgical approaches and hardware instrumentation have had to be tailored in order to achieve successful outcomes. Nowadays, thanks to the ongoing development of new technologies and surgical techniques, CVJ surgery has come to be widely performed in many spine centers. Accordingly, there is a drive to explore novel solutions and technological nuances that make CVJ surgery safer, faster, and more precise. Improved outcome in CVJ surgery has been achieved thanks to increased safety allowing for reduction in complication rates. The Authors present the latest technological advancements in CVJ surgery in terms of imaging, biomaterials, navigation, robotics, customized implants, 3D-printed technology, video-assisted approaches and neuromonitoring.
颅颈交界区（CVJ）由于其复杂的解剖学和生物力学特征，以前被认为是手术的“无人区”。为了取得成功的结果，手术入路和硬件器械必须进行定制。如今，由于新技术和手术技术的不断发展，许多脊柱中心都广泛开展了 CVJ 手术。因此，人们一直在探索新的解决方案和技术细节，以使 CVJ 手术更安全、更快、更精确。由于安全性的提高，并发症发生率降低，CVJ 手术的结果得到了改善。作者介绍了 CVJ 手术在影像学、生物材料、导航、机器人技术、定制植入物、3D 打印技术、视频辅助入路和神经监测方面的最新技术进展。
