Atlas of Craniocervical Junction and Cervical Spine Surgery
Stefano Boriani Livio Presutti Alessandro Gasbarrini Francesco Mattioli Editors Atlas of Craniocervical Junction and Cervical Spine Surgery
Editors Stefano Boriani Bologna Livio Presutti Modena Alessandro Gasbarrini Bologna Francesco Mattioli University Hospital of Modena Modena ISBN 978-3-319-42735-5 DOI 10.1007/978-3-319-42737-9 ISBN 978-3-319-42737-9 (ebook) Library of Congress Control Number: 2017939173 Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Acknowledgment The Authors are indebted and thank Carlo Piovani for his strenuous activity as anatomical artist and for imaging collection and elaboration. Thanks to him we could select the most attractive and demonstrating images and clarify the details of surgical anatomy. v
Contents Part I Anatomy 1 Anatomy of Craniocervical Junction..................................... 3 M. Alicandri-Ciufelli, M. Menichetti, M.P. Alberici, and L. Presutti 2 Anatomy of the Subaxial Cervical Spine................................. 17 M. Girolami, R. Ghermandi, M. Ghirelli, A. Gasbarrini, and S. Boriani 3 Anatomy of the Neck................................................. 27 M. Bonali, D. Soloperto, E. Aggazzotti Cavazza, M. Ghirelli, and L. Presutti Part II Planning 4 Interventional Radiology: Presurgical Selective Angiographic Embolization (SAE) in Hypervascular Cervical Spine Tumours.............. 49 Luigi Simonetti, Carlotta Barbara, Salvatore Isceri, and Elena Mengozzi 5 Anesthesiological Management and Patient Positioning.................... 63 M.R. Bacchin, M. Di Fiore, Y.E. Akman, M. Girolami, R. Ghermandi, A. Gasbarrini, and S. Boriani 6 Cervical Spine Instrumentation......................................... 69 M. Girolami, R. Ghermandi, A. Gasbarrini, Y.E. Akman, and S. Boriani 7 Tracheotomy Surgical Technique....................................... 87 M. Ghirelli, F. Mattioli, G. Molinari, I. Cena, and L. Presutti 8 Surgical Planning in Cervical Spine Oncologic Patients..................... 95 S. Boriani, R. Ghermandi, M. Girolami, and A. Gasbarrini Part III Surgical Approaches 9 Surgical Approaches to CCJ (Endoscopic Transnasal- Transoral-Transcervical and Robotic Transoral Approach)................ 105 F. Mattioli, G. Molteni, M. Bettini, E. Cigarini, and L. Presutti 10 Anterior and Lateral Approaches to Cervical Spine....................... 129 M. Ghirelli, F. Mattioli, G. Molinari, and L. Presutti 11 Posterior Approach to Cervical Spine................................... 175 R. Ghermandi, M. Girolami, A. Gasbarrini, and S. Boriani 12 Exemplificative Cases in Cervical Spine................................. 185 A. Gasbarrini, M. Girolami, R. Ghermandi, Y.E. Akman, and S. Boriani 13 Complications of Cervical Spine Surgery................................ 217 Gabriele Molteni, Marco Giuseppe Greco, and Pierre Guarino vii
Contributors Elisa Aggazzotti Cavazza Otorhinolaryngology, Head and Neck Surgery Department, University Hospital of Modena, Modena, Yunus Emre Akman Orthopaedics and Traumatology Department, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey Maria Paola Alberici Head and Neck Surgery Department, University Hospital of Modena, Modena, Ciufelli Matteo Alicandri Head and Neck Surgery Department, University Hospital of Modena, Modena, Maria Renata Bacchin Rizzoli Orthopedic Institute, Bologna, Carlotta Barbara Emergency Interventional Unit, Ospedale Maggiore, Bologna, Margherita Bettini Head and Neck Surgery Department, University Hospital of Modena, Modena, Marco Bonali Otorhinolaryngology, Head and Neck Surgery Department, University Hospital of Modena, Modena, Stefano Boriani Oncologic and Degenerative Spine Surgery Department Rizzoli Orthopedic Institute, Bologna, Isida Cena Head and Neck Surgery Department, University Hospital of Modena, Modena, Elisa Cigarini Head and Neck Surgery Department, University Hospital of Modena, Modena, Maria Di Fiore Rizzoli Orthopedic Institute, Bologna, Alessandro Gasbarrini Oncologic and Degenerative Spine Surgery Department Rizzoli Orthopedic Institute, Bologna, Riccardo Ghermandi Oncologic and Degenerative Spine Surgery Department Rizzoli Orthopedic Institute, Bologna, Michael Ghirelli Otorhinolaryngology, Head and Neck Surgery Department, University Hospital of Modena, Modena, Marco Girolami Oncologic and Degenerative Spine Surgery Department Rizzoli Orthopedic Institute, Bologna, Marco Giuseppe Greco Ent Department University Hospital of Modena, Modena, Pierre Guarino Head and Neck Surgery Department, University Hospital of Modena, Modena, Salvatore Isceri Emergency Interventional Unit, Ospedale Maggiore, Bologna, ix
x Contributors Francesco Mattioli Head and Neck Surgery Department, University Hospital of Modena, Modena, Elena Mengozzi Emergency Interventional Unit, Ospedale Maggiore, Bologna, Marcella Menichetti Head and Neck Surgery Department, University Hospital of Modena, Modena, Giulia Molinari Head and Neck Surgery Department, University Hospital of Modena, Modena, Gabriele Molteni Department of Otolaryngology-Head and Neck Surgery, University Hospital of Modena, Modena, Livio Presutti Otorhinolaryngology, Head and Neck Surgery Department, Azienda Ospedaliera Universitaria Integrata, University Hospital of Verona, Modena, Luigi Simonetti Emergency Interventional Unit, Ospedale Maggiore, Bologna, D. Soloperto Otorhinolaryngology, Head and Neck Surgery Department, University Hospital of Verona, Verona, P. Zambito, MD ENT Department University Hospital of Verona, Modena,