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Acta Neurochirurgica

, Volume 80, Issue 3–4, pp 100–104 | Cite as

Transclival transcervical approach to the upper cervical spine and clivus

  • F. Lesoin
  • M. Jomin
  • P. Pellerin
  • J. P. Pruvo
  • S. Carini
  • R. Servato
  • M. Rousseaux
Clinical Articles

Summary

The transclival-transcervical approach to lesions of the craniocervical junction is described. It gives reasonable access to the lower part of the clivus and to C1 and C2 for removal to tumours and stabilization of fractures and otherwise caused dislocations of this region.

Because an opening of the pharynx can be avoided, reconstruction work can be done using bone graft or reinforced methylmethacrylate without risk of infectious contamination.

The results obtained in 6 cases are presented.

Keywords

Transclival-transcervical approach tumours of the cranio-cervical junction fractures and dislocations of C1 and C2 rheumatoid arthritis and luxation of C1/C2 

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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • F. Lesoin
    • 1
  • M. Jomin
    • 1
  • P. Pellerin
    • 2
  • J. P. Pruvo
    • 3
  • S. Carini
    • 1
  • R. Servato
    • 1
  • M. Rousseaux
  1. 1.Service de Neurochirurgie BCentre Hôspitalier Régional et Universitaire de LilleFrance
  2. 2.Service de Chirurgie maxillo-facialeCentre Hôspitalier Régional et Universitaire de LilleFrance
  3. 3.Service de NeuroradiologieCentre Hôspitalier Régional et Universitaire de LilleFrance

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