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Surgical technique for the resection of tumors in relation with the V3 and V4 segments of the vertebral artery

  • Chapter
Pathology and surgery around the vertebral artery

Abstract

The technique for the resection of pathologies related to the V3 and V4 segments of the vertebral artery (VA) is discussed together because it is related to lesions located at the craniocervical junction (CCJ) level. The CCJ is defined by the occipital bone, the atlas, and axis. These bone structures fix the limits of the foramen magnum (FM). The limits of the FM area previously defined are the lower third of the clivus and upper edge of the body of C2, anteriorly; the jugular tubercles and upper aspect of C2 laminae, laterally; and the anterior edge of the squamous occipital bone and C2 spinous process, posteriorly (1–4). Control of the VA V3 segment is necessary for treating not only bones and extracanalar lesions of the CCJ but also in some dumbbell-shaped tumors and FM pathologies more specifically in relation with the VA V4 segment.

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Bruneau, M., George, B. (2011). Surgical technique for the resection of tumors in relation with the V3 and V4 segments of the vertebral artery. In: Pathology and surgery around the vertebral artery. Springer, Paris. https://doi.org/10.1007/978-2-287-89787-0_26

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