Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression

Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Portonero, Irene [verfasserIn] Lo Bue, Enrico Penner, Federica Di Perna, Giuseppe Baldassarre, Bianca Maria De Marco, Raffaele Pesaresi, Alessandro Garbossa, Diego Pecorari, Giancarlo Zenga, Francesco

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Endoscopic endonasal approach Odontoidectomy Craniovertebral junction Spinal cord decompression C1–C2 instability

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: European spine journal - Berlin : Springer, 1992, 33(2023), 2 vom: 07. Nov., Seite 438-443
Übergeordnetes Werk:	volume:33 ; year:2023 ; number:2 ; day:07 ; month:11 ; pages:438-443

Links:	Volltext

DOI / URN:	10.1007/s00586-023-08001-y

Katalog-ID:	SPR054990351

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520			\|a Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks.
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allfields	10.1007/s00586-023-08001-y doi (DE-627)SPR054990351 (SPR)s00586-023-08001-y-e DE-627 ger DE-627 rakwb eng Portonero, Irene verfasserin (orcid)0000-0002-6750-4022 aut Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. Endoscopic endonasal approach (dpeaa)DE-He213 Odontoidectomy (dpeaa)DE-He213 Craniovertebral junction (dpeaa)DE-He213 Spinal cord decompression (dpeaa)DE-He213 C1–C2 instability (dpeaa)DE-He213 Lo Bue, Enrico aut Penner, Federica aut Di Perna, Giuseppe aut Baldassarre, Bianca Maria aut De Marco, Raffaele aut Pesaresi, Alessandro aut Garbossa, Diego aut Pecorari, Giancarlo aut Zenga, Francesco aut Enthalten in European spine journal Berlin : Springer, 1992 33(2023), 2 vom: 07. Nov., Seite 438-443 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:33 year:2023 number:2 day:07 month:11 pages:438-443 https://dx.doi.org/10.1007/s00586-023-08001-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 33 2023 2 07 11 438-443
spelling	10.1007/s00586-023-08001-y doi (DE-627)SPR054990351 (SPR)s00586-023-08001-y-e DE-627 ger DE-627 rakwb eng Portonero, Irene verfasserin (orcid)0000-0002-6750-4022 aut Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. Endoscopic endonasal approach (dpeaa)DE-He213 Odontoidectomy (dpeaa)DE-He213 Craniovertebral junction (dpeaa)DE-He213 Spinal cord decompression (dpeaa)DE-He213 C1–C2 instability (dpeaa)DE-He213 Lo Bue, Enrico aut Penner, Federica aut Di Perna, Giuseppe aut Baldassarre, Bianca Maria aut De Marco, Raffaele aut Pesaresi, Alessandro aut Garbossa, Diego aut Pecorari, Giancarlo aut Zenga, Francesco aut Enthalten in European spine journal Berlin : Springer, 1992 33(2023), 2 vom: 07. Nov., Seite 438-443 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:33 year:2023 number:2 day:07 month:11 pages:438-443 https://dx.doi.org/10.1007/s00586-023-08001-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 33 2023 2 07 11 438-443
allfields_unstemmed	10.1007/s00586-023-08001-y doi (DE-627)SPR054990351 (SPR)s00586-023-08001-y-e DE-627 ger DE-627 rakwb eng Portonero, Irene verfasserin (orcid)0000-0002-6750-4022 aut Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. Endoscopic endonasal approach (dpeaa)DE-He213 Odontoidectomy (dpeaa)DE-He213 Craniovertebral junction (dpeaa)DE-He213 Spinal cord decompression (dpeaa)DE-He213 C1–C2 instability (dpeaa)DE-He213 Lo Bue, Enrico aut Penner, Federica aut Di Perna, Giuseppe aut Baldassarre, Bianca Maria aut De Marco, Raffaele aut Pesaresi, Alessandro aut Garbossa, Diego aut Pecorari, Giancarlo aut Zenga, Francesco aut Enthalten in European spine journal Berlin : Springer, 1992 33(2023), 2 vom: 07. Nov., Seite 438-443 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:33 year:2023 number:2 day:07 month:11 pages:438-443 https://dx.doi.org/10.1007/s00586-023-08001-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 33 2023 2 07 11 438-443
allfieldsGer	10.1007/s00586-023-08001-y doi (DE-627)SPR054990351 (SPR)s00586-023-08001-y-e DE-627 ger DE-627 rakwb eng Portonero, Irene verfasserin (orcid)0000-0002-6750-4022 aut Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. Endoscopic endonasal approach (dpeaa)DE-He213 Odontoidectomy (dpeaa)DE-He213 Craniovertebral junction (dpeaa)DE-He213 Spinal cord decompression (dpeaa)DE-He213 C1–C2 instability (dpeaa)DE-He213 Lo Bue, Enrico aut Penner, Federica aut Di Perna, Giuseppe aut Baldassarre, Bianca Maria aut De Marco, Raffaele aut Pesaresi, Alessandro aut Garbossa, Diego aut Pecorari, Giancarlo aut Zenga, Francesco aut Enthalten in European spine journal Berlin : Springer, 1992 33(2023), 2 vom: 07. Nov., Seite 438-443 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:33 year:2023 number:2 day:07 month:11 pages:438-443 https://dx.doi.org/10.1007/s00586-023-08001-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 33 2023 2 07 11 438-443
allfieldsSound	10.1007/s00586-023-08001-y doi (DE-627)SPR054990351 (SPR)s00586-023-08001-y-e DE-627 ger DE-627 rakwb eng Portonero, Irene verfasserin (orcid)0000-0002-6750-4022 aut Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. Endoscopic endonasal approach (dpeaa)DE-He213 Odontoidectomy (dpeaa)DE-He213 Craniovertebral junction (dpeaa)DE-He213 Spinal cord decompression (dpeaa)DE-He213 C1–C2 instability (dpeaa)DE-He213 Lo Bue, Enrico aut Penner, Federica aut Di Perna, Giuseppe aut Baldassarre, Bianca Maria aut De Marco, Raffaele aut Pesaresi, Alessandro aut Garbossa, Diego aut Pecorari, Giancarlo aut Zenga, Francesco aut Enthalten in European spine journal Berlin : Springer, 1992 33(2023), 2 vom: 07. Nov., Seite 438-443 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:33 year:2023 number:2 day:07 month:11 pages:438-443 https://dx.doi.org/10.1007/s00586-023-08001-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 33 2023 2 07 11 438-443
language	English
source	Enthalten in European spine journal 33(2023), 2 vom: 07. Nov., Seite 438-443 volume:33 year:2023 number:2 day:07 month:11 pages:438-443
sourceStr	Enthalten in European spine journal 33(2023), 2 vom: 07. Nov., Seite 438-443 volume:33 year:2023 number:2 day:07 month:11 pages:438-443
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Endoscopic endonasal approach Odontoidectomy Craniovertebral junction Spinal cord decompression C1–C2 instability
isfreeaccess_bool	true
container_title	European spine journal
authorswithroles_txt_mv	Portonero, Irene @@aut@@ Lo Bue, Enrico @@aut@@ Penner, Federica @@aut@@ Di Perna, Giuseppe @@aut@@ Baldassarre, Bianca Maria @@aut@@ De Marco, Raffaele @@aut@@ Pesaresi, Alessandro @@aut@@ Garbossa, Diego @@aut@@ Pecorari, Giancarlo @@aut@@ Zenga, Francesco @@aut@@
publishDateDaySort_date	2023-11-07T00:00:00Z
hierarchy_top_id	268757550
id	SPR054990351
language_de	englisch
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author	Portonero, Irene
spellingShingle	Portonero, Irene misc Endoscopic endonasal approach misc Odontoidectomy misc Craniovertebral junction misc Spinal cord decompression misc C1–C2 instability Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression
authorStr	Portonero, Irene
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topic_title	Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression Endoscopic endonasal approach (dpeaa)DE-He213 Odontoidectomy (dpeaa)DE-He213 Craniovertebral junction (dpeaa)DE-He213 Spinal cord decompression (dpeaa)DE-He213 C1–C2 instability (dpeaa)DE-He213
topic	misc Endoscopic endonasal approach misc Odontoidectomy misc Craniovertebral junction misc Spinal cord decompression misc C1–C2 instability
topic_unstemmed	misc Endoscopic endonasal approach misc Odontoidectomy misc Craniovertebral junction misc Spinal cord decompression misc C1–C2 instability
topic_browse	misc Endoscopic endonasal approach misc Odontoidectomy misc Craniovertebral junction misc Spinal cord decompression misc C1–C2 instability
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title	Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression
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title_full	Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression
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author_browse	Portonero, Irene Lo Bue, Enrico Penner, Federica Di Perna, Giuseppe Baldassarre, Bianca Maria De Marco, Raffaele Pesaresi, Alessandro Garbossa, Diego Pecorari, Giancarlo Zenga, Francesco
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title_sort	lesson learned in endoscopic endonasal dens resection for c1–c2 spinal cord decompression
title_auth	Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression
abstract	Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. © The Author(s) 2023
abstractGer	Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. © The Author(s) 2023
abstract_unstemmed	Purpose Endoscopic endonasal approach (EEA) is the safest and most effective technique for odontoidectomy. Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. Despite its technical complexity, mainly due to the use of endoscope and the challenging surgical area, with this study we encourage the use of EEO displaying our experience-based surgical tips and tricks. © The Author(s) 2023
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title_short	Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression
url	https://dx.doi.org/10.1007/s00586-023-08001-y
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author2	Lo Bue, Enrico Penner, Federica Di Perna, Giuseppe Baldassarre, Bianca Maria De Marco, Raffaele Pesaresi, Alessandro Garbossa, Diego Pecorari, Giancarlo Zenga, Francesco
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doi_str	10.1007/s00586-023-08001-y
up_date	2024-07-04T03:46:13.771Z
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Nevertheless, this kind of approach is yet not largely widespread. The aim of this study is to share with the scientific community some tips and tricks with our ten-year-old learned experience in endoscopic endonasal odontoidectomy (EEO), which remains a challenging surgical approach. Material and methods Our case series consists of twenty-one (10 males, 11 females; age range of 34–84 years) retrospectively analyzed patients with ventral spinal cord compression for non-reducible CVJ malformation, treated with EEA from July 2011 to March 2019. Results The results have recently been reported in a previous paper. The only intraoperative complication observed was intraoperative cerebrospinal fluid (CSF) leak (9.5%), without any sign of post-operative CSF leak. Conclusions Considering our experience, EEO represents a valid and safe technique to decompress neural cervical structures. 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Lesson learned in endoscopic endonasal dens resection for C1–C2 spinal cord decompression

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