Direct lateral approach to pathology at the craniocervical junction: a technical note.

Kalil G. Abdullah, Richard S. Schlenk, Ajit Krishnaney, Michael P. Steinmetz, Edward C. Benzel, Thomas E. Mroz

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Approaches to the foramen magnum and upper cervical spine traditionally include the posterior midline, far lateral, and endoscopic endonasal approaches. The far lateral approach is a well-established technique for the removal of pathology ventrolateral to the brainstem and the craniocervical junction, but it may be too extensive for lesions limited to areas far from the midline. To present an alternative to the commonly used approaches to the foramen magnum and upper cervical. We used an approach directly overlying ventral or lateral pathology. Two cases are presented in which the direct lateral approach followed by an occipitocervical fusion was successfully performed. This approach can be considered for patients in whom a ventral decompression is necessary but an endoscopic endonasal approach is undesirable or when a ventral, lateral, and ventrolateral resection of tumor, pannus, or infection is required.

Original languageEnglish (US)
Pages (from-to)202-208
Number of pages7
Issue number2 Suppl Operative
StatePublished - Jun 2012
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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