Comparative Cadaveric Analysis for Surgical Corridor and Maneuverability: Far-Lateral Approach and Its Transcondylar Extension.

World Neurosurgery
Sae Min KwonYong Seok Nam

Abstract

The necessity of partial occipital condyle (OC) resection for lesions in the ventral craniocervical junction is debatable. This study's purpose was to compare the surgical exposure of the classic far-lateral approach (FLA) and transcondylar FLA. The classic FLA and transcondylar FLA were performed in 12 human cadaveric heads (24 sides). The surgical corridor of 3 levels (a: vagus nerve, b: from the midpoint of proximal ends of the vagus and hypoglossal nerves to the midpoint of the distal ends of each nerve, c: hypoglossal nerve) and the maneuverability (the area between neurovascular structures that limits instrumental maneuvers) were measured after each approach. The surgical corridors were significantly greater in transcondylar FLA than in classic FLA (a: 14.4 ± 3.4 mm vs. 17.1 ± 4.4 mm, P < 0.001; b: 8.6 ± 2.9 mm vs. 11.2 ± 4.1 mm, P < 0.001; c: 5.5 ± 2.2 mm vs. 7.7 ± 2.8 mm, P < 0.001). Transcondylar FLA also provided greater maneuverability than classic FLA (73.2 ± 23.9 mm2 vs. 94.9 ± 32.2 mm2, P < 0.001). The increased length of the surgical corridor was greatest in a (a: 2.7 ± 2.3 mm, b: 2.6 ± 2.0 mm, c: 2.2 ± 1.4 mm). However, the rate of increase was greatest in c (a: 18.9 ± 16.4%, b: 30.4 ± 26.2%, c: 44.8 ± 27.2%). T...Continue Reading

References

Dec 1, 1996·Neurosurgery·M SamiiG Carvalho
Apr 1, 1997·Surgical Neurology·B GeorgeH Boissonnet
Jan 1, 2000·Journal of Neurosurgery·K I ArnautovićM Husain
Nov 15, 2000·Surgical Neurology·G K BejjaniC J Riedel
Mar 2, 2006·Journal of Neurosurgery. Spine·Hyunchul ShinNoel I Perin
Jun 18, 2009·British Journal of Neurosurgery·Nehir BarutKayihan Sahinoglu
May 17, 2017·Acta neurochirurgica·Thomas J SorensonGiuseppe Lanzino

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