This book provides a unique tool for approaching cranio-vertebral junction (CVJ) surgery. Following a brief introduction to the relevant anatomy and biomechanics of CVJ, it explores the field of cranio-vertebral junction lesions and their management. Furthermore, individual chapters cover endovascular surgery, endoscopic skull base techniques, navigation and robotics, ensuring that surgeons stay up-to-date. A chapter addressing the consequences of CVJ surgery with regard to sagittal balance is of particular importance. The book is structured according both to the type of lesion involving the CVJ (tumor, trauma), and to the type of surgical approach (anterior, posterior). Further, it reflects innovative treatment modalities that have improved patient safety and efficacy rates for surgery involving the CVJ, and covers both open and minimally invasive surgical methods, enabling surgeons to hone their skills in both areas.  

I Introduction

Relevant anatomy
Anatomy of the VA at CVJ- Radiological assessment of CVJ
Biomechanics of CVJ
Sagittal balance concept applied to CVJ
II General principles of CVJ surgery
Surgical positioning
Anesthesiological considerations
Perioperative management
III Surgical techniques
Anterior approaches
Posterior approaches
Posterolateral approaches
Transfacial approaches
Transcranial approaches
Transpetrosal approaches
MIS techniques for CVJ
Image-guidance and navigation
Spinal fusion and bone harvesting
Endovascular procedures
IV Management of CVJ lesions
Trauma of the CVJ
Tumors of the CVJ
Vascular pathologies of the CVJ
Malformations of the CVJ
Infections and metabolic diseases.