Endoscopic-Assisted C2 Transverse Process Mass Excision
- 1 January 2021
- journal article
- research article
- Published by Medknow in Neurology India
- Vol. 69 (3), 582-586
- https://doi.org/10.4103/0028-3886.319213
Abstract
Background and Introduction: C2 transverse process exostoses are rare lesions. Due to critical structures surrounding them, their excision is challenging. There are sparse reports of anterior retropharyngeal approach (ARPA) for high-cervical transverse process mass and none for endoscopic ARPA approach. Objective: A step-by-step technical report with its video is presented. Surgical Technique: A 14-year-old girl presented with chronic right-sided neck pain. The computed tomography scan revealed a 6.5 cm3 mass in the right transverse process extending into the lateral mass of the C2 vertebra. The mass was anterior and in direct contact with the vertebral artery. She underwent a minimally invasive endoscopic ARPA. Results: The mass could be excised along with its cartilaginous cap without any complications. The patient's symptoms resolved completely. The biopsy came out as osteochondroma. Conclusion: Endoscopic ARPA is a minimally invasive option for high-cervical tumors and was found safe and effective for C2 transverse process osteochondroma.Keywords
This publication has 8 references indexed in Scilit:
- Diagnosis, Management, and Treatment Options: A Cervical Spine Osteochondroma Meta-AnalysisWorld Neurosurgery, 2021
- Simplified four-step retropharyngeal approach for the upper cervical spine: technical noteEuropean Spine Journal, 2020
- Osteochondroma Arising from the Transverse Process of the Lower Cervical Spine in an Elderly PatientWorld Neurosurgery, 2019
- Endoscopic single stage trans-oral decompression and anterior C1 lateral mass and C2 pedicle stabilization for atlanto-axial dislocationNeurology India, 2019
- Endoscopic technique for single-stage anterior decompression and anterior fusion by transcervical approach in atlantoaxial dislocationNeurology India, 2017
- Transcervical endoscopic approach for removal of parapharyngeal space massesOperative Techniques in Otolaryngology-Head and Neck Surgery, 2014
- Spinal ExostosesSpine, 2005
- On spinal osteochondromasJournal of Neurosurgery, 1992