[Tumors and metastases of the upper cervical spine (C0-2). A special challenge]

Orthopade. 2013 Sep;42(9):746-54. doi: 10.1007/s00132-013-2069-1.
[Article in German]

Abstract

Tumors of the upper cervical spine are rare and represent less than 0.5 % of all spinal tumors. The types of tumor and the clinical presentation are as varied as the modalities used for treatment. The unique anatomy of the upper cervical spine with its high physical mobility means that biomechanical considerations and neighboring anatomical structures (e.g. vertebral artery, medulla oblongata, lower cranial nerves and pharynx) must be considered when creating a treatment plan. Finding a balance between complete tumor removal, the preservation and reestablishment of stability and function and the possible necessity for postoperative radiotherapy is of utmost importance and must be assessed on an individual basis. In this review paper some important points will be presented concerning the preparation of the patient, the planning of the operation and the surgical approach used in treating tumors of the craniocervical junction.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Cervical Vertebrae / surgery*
  • Combined Modality Therapy
  • Humans
  • Laminectomy / methods*
  • Minimally Invasive Surgical Procedures / methods*
  • Plastic Surgery Procedures / methods*
  • Preoperative Care / methods
  • Quality of Life
  • Risk Factors
  • Spinal Fusion / methods*
  • Spinal Neoplasms / diagnosis
  • Spinal Neoplasms / secondary*
  • Spinal Neoplasms / surgery*
  • Treatment Outcome