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EVALUATION OF USEFULNESS OF LATERAL RETROPHARYNGEAL APPROACH TO C2, C3 CERVICAL SPINE.

BALAJI CHANDRAMOHAN

Abstract


Surgical approaches to the C23 disc
level are challenging because of its location
behind the mandible and the vital
neurovascular structures overlying the
area. Despite the many techniques described
in the literature, there is still a
lack of consensus concerning the optimum
approach to the C23 disc level. The
purpose of the prospective study is to
evaluate the usefulness of lateral retropharyngeal
approach. We have done anterior
stabilisation of four cases of c2
pedicle fracture through lateral retropharyngeal
approach and there was no
complication reported in our study. The
purpose of this article is to present the
anatomy of the lateral retropharyngeal
approach as a guide to increase the
safety of the approach to this area. For
this purpose, stepwise dissection of this
approach and a clinical case illustrating
the usefulness of the surgical technique
in this region are presented.
Keyword :c2 fixation, upper cervical spine
exposure, lateral retropharyngeal approach,
Whiteside et al exposure, novel anterior
approach.


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References


Antich PA, Sanjuan AC, Girvent SM,

Simo JD: High cervical disc herniation

and Brown-Sequard syndrome. A case

report and review of the literature. J

Bone Joint Surg Br 81:462–463, 1999

Bruneau M, Cornelius JF, George B:

Anterolateral approach to the V2 segment

of the vertebral artery. Neurosurgery

(4Suppl):262–267, 2005

Bruneau M, Cornelius JF, George

B: Anterolateral approach to the V3

segment of the vertebral artery. Neurosurgery

(1Suppl):29–35, 2006

Bulger RF, Rejowsky JE, Betty

RA: Vocal cord paralysis associated

with anterior cervical fusion: considerations

for prevention and treatment.

J Neurosurg 62:657–661, 1985

Campbell SF, Tannenberg AE,

Mowat P: Transoral resection of retroodontoid

disc sequestration: case

report and review of the literature. J

Clin Neurosci 7:325–327, 2000

Chen TY: The clinical presentation

of uppermost cervical disc protrusion.

Spine 25:439–442, 2000

Chen TY, Lui TN: Retrodental fibrocartilaginous

mass. Report of a case. Spine

:920–923, 1997

Cloward RB: The anterior approach for

removal of ruptured cervical disks. J Neurosurg

:602–617, 19589. Crockard HA:

Transoral approach to the base of the brain

and upper cervical cord. Ann R Coll Surg

:321–325, 1985

DeAndrade JR, Macnab I: Anterior occipito-

cervical fusion using an extrapharyngeal

exposure. J Bone J Surg Am

:1621–1626, 1969


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