Extreme Lateral Approach to the Craniovertebral Junction: An Update
- 5 January 2019
- book chapter
- research article
- Published by Springer Science and Business Media LLC
- Vol. 125, 171-174
- https://doi.org/10.1007/978-3-319-62515-7_25
Abstract
Introduction:The term ‘extreme lateral approach’ (ELA) was first introduced by Sen and Sekhar relatively recently (in 1990). Its definition varies and remains controversial, but it generally entails more aggressive bony removal than the far lateral approach (FLA). Goal: In this paper we review the relevant literature and weigh up the advantages and disadvantages of this approach. We propose methods to manage the complications resulting from the more invasive character of the ELA. Some modern trends regarding how to definitely distinguish the ELA from the FLA are also presented. Methods: Using the PubMed database, literature was collected on the relevant topics and subsequently reviewed. All up-to-date tips and tricks were carefully gathered, and current morbidity and mortality rates were obtained, as well as further perspectives. Results and Conclusion: The morbidity associated with the ELA remains higher than that associated with the FLA, but the mortality nowadays is comparable. The ELA undoubtedly is a challenging procedure requiring deep insight into the relevant anatomy and its normal variants.Keywords
This publication has 17 references indexed in Scilit:
- Vertebral Artery Transposition Via an Extreme-Lateral Approach for Anterior Foramen Magnum Meningioma or Craniocervical Junction TumorsWorld Neurosurgery, 2015
- Congenital Malrotation of the Atlas with Unilateral Hypertrophy of the Atlanto-occipital Joint—A Rare Anomaly of the Craniovertebral Junction and Its ManagementWorld Neurosurgery, 2015
- Vertebral Artery-to-Vertebral Artery Bypass with Interposed Radial Artery or Occipital Artery Grafts: Surgical Technique and Report of Three CasesWorld Neurosurgery, 2014
- C2 root nerve sheath tumors managementActa Neurochirurgica, 2013
- Approaches to anterior and anterolateral foramen magnum lesions: A critical reviewJournal of Craniovertebral Junction & Spine, 2010
- Simple identification of the third segment of the extracranial vertebral artery by extreme lateral inferior transcondylar-transtubercular exposure (ELITE)Acta Neurochirurgica, 2009
- Chordoid meningioma of the foramen magnum in a child: a case report and review of the literatureChild's Nervous System, 2008
- Extreme Lateral Approach in a Case of Acute-Onset Quadriplegia due to High Cervical Neurenteric CystPediatric Neurosurgery, 2007
- Jugular tubercle: morphometric analysis and surgical significanceJournal of Neurosurgery, 2006
- An Extreme Lateral Approach to Intradural Lesions of the Cervical Spine and Foramen MagnumNeurosurgery, 1990