Microsurgical Anatomy of the Transoral Approach for Anterior Processes of the Upper Cervical Spine

  • R. R. Renella
  • S. Hussein
  • H. Friedrich
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 14)


The main problem in surgical treatment of ventral processes of the upper cervical spine is the operative access. The transoral approach (TOA) allows direct exploration of this region (1, 2, 3, 8, 9, 13 ) and has been used for particular malformations of the atlanto–occipital junction(2,11), for atlanto–axial dislocations (l0), and for epidural lesions (8, 10 ). The aim of this anatomical study is to investigate the possibilities and limits of the TOA for extra and intradural operations in the cervical region.


Cervical Spine Vertebral Artery Arteriovenous Malformation Posterior Longitudinal Ligament Transoral Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Appuzo, M.L.J., Weiss, M.H., Heiden, J.S.: Transoral exposure of the atlanto–axial region. Neurosurgery. 3, 201–207 (1978)CrossRefGoogle Scholar
  2. 2.
    Derome, P., Caron, J.P., Hurth, M.: Indications de la voie transbucco–pharyngée dans les malformations de la charnière craniovertébrale. Neurochirurgie 22, 282–285 (1977)Google Scholar
  3. 3.
    Fang, S.Y., Ong, G.B.: Direct anterior approach to the upper cervical spine. J. Bone Surgery 12, 1588–1604 (1962)Google Scholar
  4. 4.
    Franke, J.P., Clarisse, J.: Les bases anatomiques de l’abord transbucco–pharyngé du rachis cervical supérieur et du clivus et le bilan radiologique pré–opératoire. Neurochirurgie 23, 250–258 (1977)Google Scholar
  5. 5.
    Hashi, K., Hakuba, H., Ikuno, H., Nishimura, S.: A midline vertebral artery aneurysm operated via a transoral transclival approach. No Shinkei Geka 42, 183–189 (1976)Google Scholar
  6. 6.
    Hayakawa, T., Kamikawa, K., Ohnishi, T., Yoshimine, T.: Prevention of postoperative complications after a transoral transclival approach to basilar aneurysm. J. Neurosurg. 54, 699–703 (1981)PubMedCrossRefGoogle Scholar
  7. 7.
    Kuhn, S.: Der transoral–transklivale Zugang in der Neurochirurgie (mikrochirurgische Technik des Zuganges). Inauguraldissertation, Hannover 1982Google Scholar
  8. 8.
    Jomin, M.: Interet de la voie transbuccale dans le traitement des lésions tumorales des premières vertébres cervicales. Neurochirurgie 23, 286–287 (1977)Google Scholar
  9. 9.
    Laine, E., Delandsheer, J.M., Jomin, M.: Indications et possibilitès de la voie transbucco–pharyngée. Neurochirurgie 23, 249–314 (1977)Google Scholar
  10. 10.
    Mullan, S., Naunton, R., Hekmat-Panah, J., Vailati, G.: The use of an anterior approach to ventrally placed tumors in the foramen magnum and vertebral column. J. Neurosurg. 24, 536–543 (1966)PubMedCrossRefGoogle Scholar
  11. 11.
    Pasztor, E., Vajda, J., Piffko, P., Korvath, M., Gador, I.: Transoral surgery for cranio–cervical space occupying processes. J. Neurosurg. 60, 276–282 (1984)PubMedCrossRefGoogle Scholar
  12. 12.
    Pech, A., Cannoni, M., Magnan, J., Appaix, M., Gitenet, P., Vigouroux, R.P., Pellet, W., Guillermann, P., Allies, B.: Les voies transorales en otoneurochirurgie. Ann. Otolaryngol. Chir. Cervicofac. 91, 281–292 (1974)PubMedGoogle Scholar
  13. 13.
    Rougemont, J. de, Abada, M., Barge, M.: Les possibilités de la voie antérieure dans les lésions des trois permières vertébres cervicales. Neurochirurgie 12, 323–336 (1966)PubMedGoogle Scholar
  14. 14.
    Sano, K., Jimbo, M., Saito, I.: Vertebro–basilar aneurysm with special reference to the transpharyngeal transclival approach to the basilar artery aneurysms. No To Shinkei 18, 1197–1203 (1966)PubMedGoogle Scholar
  15. 15.
    Spetzler, R.F., Selman, W.R., Nash, C.L.: Transoral microsurgical odontoid resection and spinal cord monitoring. Spine 4, 506–510 (1979)PubMedCrossRefGoogle Scholar
  16. 16.
    Yasargil, M.G.: Intracranial microsurgery. Clin. Neurosurg. 15, 250–256 (1970)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • R. R. Renella
    • 1
  • S. Hussein
    • 1
  • H. Friedrich
    • 1
  1. 1.Neurochirurgische KlinikMedizinischen Hochschule HannoverHannover 61Germany

Personalised recommendations