Advertisement

Surgical Approach: Posterior Far-Lateral Suboccipital Approach

  • Gergely Bodon
  • Dezsö Jeszenszky
Chapter

Abstract

This chapter focuses on the relevant anatomy and the surgical technique of the far-lateral suboccipital approach. The original description of this approach was used for vertebral artery and vertebrobasilar junction aneurysms and for the removal of diverse tumors of the craniocervical junction. It can be used to treat a wide range of pathologies affecting the occipital bone, C1 and C2, the retro-odontoid region, as well as extra- or intradural tumors of the craniocervical junction. The main advantage of this approach is that it allows for simultaneous posterior fusion.

References

  1. 1.
    Rhoton AL. The far-lateral approach and its transcondylar, supracondylar, and paracondylar extensions. Neurosurgery. 2000;47(3 Suppl):S195–209.CrossRefGoogle Scholar
  2. 2.
    George B, Bruneau M, Spetzler RF. Pathology and surgery around the vertebral artery. Berlin: Springer Science & Business Media; 2013. p. 329–60.Google Scholar
  3. 3.
    Arnautović KI, al-Mefty O, Pait TG, Krisht AF, Husain MM. The suboccipital cavernous sinus. J Neurosurg. 1997;86(2):252–62.CrossRefGoogle Scholar
  4. 4.
    Fine AD, Cardoso A, Rhoton AL. Microsurgical anatomy of the extracranial-extradural origin of the posterior inferior cerebellar artery. J Neurosurg. 1999;91(4):645–52.CrossRefGoogle Scholar
  5. 5.
    Heros RC. Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. J Neurosurg. 1986;64(4):559–62.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Gergely Bodon
    • 1
  • Dezsö Jeszenszky
    • 2
  1. 1.Department of Orthopaedic SurgeryKlinikum EsslingenEsslingen am NeckarGermany
  2. 2.Spine Unit, Department of Spine SurgerySchulthess ClinicZurichSwitzerland

Personalised recommendations