Search Results

You are looking at 1 - 7 of 7 items for :

  • "craniocervical junction" x
  • By Author: Wolinsky, Jean-Paul x
Clear All
Restricted access

Matthew J. McGirt, Frank J. Attenello, Daniel M. Sciubba, Ziya L. Gokaslan and Jean-Paul Wolinsky

compression and stabilization of the craniocervical junction are needed to prevent progression of deficits in children afflicted with this disease. 5 , 6 , 8 , 13 , 14 , 17 , 18 , 27 , 29 , 32–34 , 39 , 40 , 42 , 43 , 46 Currently, the standard direct approach to this area is through the transoral–transpharyngeal approach. 5 , 13 , 14 , 18 , 29 , 32–34 , 39 , 40 , 43 , 46 If added exposure is required, then a transmandibular route 6 , 8 , 17 , 27 , 42 or Le Fort osteotomies 2 , 7 , 26 can be used. Refinements in surgical technique have improved the morbidity and

Restricted access

Jean-Paul Wolinsky, Daniel M. Sciubba, Ian Suk and Ziya L. Gokaslan

V entral compressive lesions of the craniocervical junction have been approached in various ways. Currently, the standard direct approach to this area is through the transoral–transpharyngeal approach. 5 , 12 , 13 , 16 , 27–30 , 36 , 37 , 40 , 43 If added exposure is required, then a transmandibular route 6 , 8 , 15 , 25 , 39 or Le Fort osteotomies 2 , 7 , 24 can be used. Refinements in surgical technique and detailed understanding of the anatomy of this region have improved the morbidity and mortality rates associated with these operations and have

Full access

Michelle J. Clarke, Patricia L. Zadnik, Mari L. Groves, Daniel M. Sciubba, Timothy F. Witham, Ali Bydon, Ziya L. Gokaslan and Jean-Paul Wolinsky

T he biomechanical structures of the craniocervical junction and subaxial spine transmit load-bearing forces from the skull to the torso while allowing head movement and protecting vital structures. 31 At the craniocervical junction, axial forces are transmitted from the occipital condyles to the lateral masses of C-1 to the lateral masses of C-2. This is the only portion of the spinal axis in which a central vertebral body does not provide the majority of support. 32 Below C-2, the vertebral body bears the majority of the static axial load, while the

Free access

Ziev B. Moses, Rory R. Mayer, Benjamin A. Strickland, Ryan M. Kretzer, Jean-Paul Wolinsky, Ziya L. Gokaslan and Ali A. Baaj

minimally invasive surgery. 18 , 29 , 34–37 , 46 Preliminary studies suggest technologies such as cone-beam CT will improve visualization and guidance while decreasing cumulative intraoperative radiation exposure. 34 Further refinements i n i maging technology, including fusion to MRI and use of multimodality techniques including endoscopy for craniocervical junction pathologies, will continue to push the limits of MISS with the goal of improving the long-term radiation safety profile of these surgical adjuncts. Conclusions Refinements in image

Full access

Ziya L. Gokaslan, Patricia L. Zadnik, Daniel M. Sciubba, Niccole Germscheid, C. Rory Goodwin, Jean-Paul Wolinsky, Chetan Bettegowda, Mari L. Groves, Alessandro Luzzati, Laurence D. Rhines, Charles G. Fisher, Peter Pal Varga, Mark B. Dekutoski, Michelle J. Clarke, Michael G. Fehlings, Nasir A. Quraishi, Dean Chou, Jeremy J. Reynolds, Richard P. Williams, Norio Kawahara and Stefano Boriani

1976) 34 : 384 – 391 , 2009 4 Choi D , Melcher R , Harms J , Crockard A : Outcome of 132 operations in 97 patients with chordomas of the craniocervical junction and upper cervical spine . Neurosurgery 66 : 59 – 65 , 2010 5 Cloyd JM , Chou D , Deviren V , Ames CP : En bloc resection of primary tumors of the cervical spine: report of two cases and systematic review of the literature . Spine J 9 : 928 – 935 , 2009 6 DeLaney TF , Liebsch NJ , Pedlow FX , Adams J , Weyman EA , Yeap BY , : Long-term results of

Free access

. Given our small cohort of patients treated without orthosis, it is possible that isolated OCF may be treated without cervical orthosis at all. Neurosurg Focus Neurosurgical Focus FOC 1092-0684 American Association of Neurological Surgeons 10.3171/2017.3.FOC-DSPNabstracts 2017.3.FOC-DSPNABSTRACTS Kline Peripheral Nerve Award Presentation 166. A Finite Element Analysis of the Occitipoatlantal Capsular Ligaments as the Primary Stabilizers of the Craniocervical Junction Andrew T. Dailey , MD , Rinchen Phuntsok