Transoral approach to the lower clivus and upper cervical spine

F. Umansky*, J. Elidan, Y. Floman, S. Constantini

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

5 cases were operated via a transoral approach for basilar impression (2 cases), tumor (2), or traumatic dislocation of the odontoid process (1). In all except 1 there was compression of the lower medulla and/or upper cervical cord. Posterior cervical fusion was also performed in 2 patients. There was significant improvement in all the patients who presented with neurological deficits. Surgical morbidity was low and there was no mortality. The use of the operating microscope, microdrill, self-retaining mouth retractor, flexible oral endotracheal tube, and intraoperative fluoroscopy permit a safe, direct approach to the lower clivus and upper cervical region.

Original languageEnglish
Pages (from-to)698-701, 752, 751
JournalHarefuah
Volume122
Issue number11
StatePublished - 1 Jun 1992
Externally publishedYes

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