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Published in: Acta Neurochirurgica 6/2017

Open Access 01-06-2017 | Technical Note - Neurosurgical Techniques

Transoral vertebroplasty of the lateral mass of C1 using image guidance

Authors: Pujan Kavakebi, P. P. Girod, S. Hartmann, A. Tschugg, C. Thomé

Published in: Acta Neurochirurgica | Issue 6/2017

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Abstract

Background

Osteolytic lesions of the anterior aspects of C1 (lateral mass) are difficult to address in a minimally invasive fashion and are often treated by craniocervical instrumentation.

Methods

We report the feasibility and technical method of transoral vertebroplasty of the lateral mass of the atlas using image guidance and describe the workflow of the procedure. To our knowledge, there has not yet been a technical description of a transoral vertebroplasty using image guidance.

Results

Adequate positioning of the pedicle access needle using image guidance for addressing the lateral mass of C1 through a transoral, permuceous access can be achieved.

Conclusions

With the assistance of image guidance, it is safe and feasible to access the lateral mass of the atlas. This constitutes a minimally invasive and fast alternative for introducing the bone needle to C1 rather than using a fluoroscopic device alone.
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Metadata
Title
Transoral vertebroplasty of the lateral mass of C1 using image guidance
Authors
Pujan Kavakebi
P. P. Girod
S. Hartmann
A. Tschugg
C. Thomé
Publication date
01-06-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3158-4

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