Page 25 - 17_Atti_SNO_2023_flip

Proceedings SNO “LXII Congresso Nazionale SNO”
MERCOLEDÌ, 27 SETTEMBRE

Abstract SIMPOSI PARALLELI:
“ANOMALIE DELLA GIUNZIONE CRANIO-CERVICALE”

New advances in the treatment
of cranio-vertebral junction anomalies

C. BREMBILLA, G. CRACCHIOLO, A. FANTI

Department of Neurosurgery, “Pope John XXIII” Hospital, Bergamo, Italy

The CranioVertebral Junction (CVJ) represents a critical making fixation of this region complex and dangerous for
anatomical region connecting the skull and the cervical such patients.
spine. It is a biomechanically complex articulation that re- Over the years, significant innovations in the technological
presents the most dynamic area of the cervical spine. field have revolutionized the treatment of CVJM. One such
CranioVertebral Junction Malformations (CVJM) compri- notable advancement is the integration of intraoperative
se a wide spectrum of diseases, that can be divided into neuronavigation systems. Our intention is to shed light on
congenital, developmental, or acquired forms. Often, mul- the pivotal role of intraoperative neuronavigation in the
tiple forms can coexist together, posing significant chal- posterior fixation of CVJM. We reported our experience
lenges due to their intricate anatomy. Since the publication and a comprehensive review of the literature, in which we
of Goel and Laheri landmark paper in 1994, the surgical focused on the feasibility and safety of the treatment by cu-
treatment of CVJ pathologies has undergone significant stomizing screw fixation to overcome the patient’s anato-
development and changes. CVJM may distort the usual mical barriers.
anatomical landmarks, thus misleading the surgeon, and

Corrispondenza: Dr. Carlo Brembilla, SC di Neurochirurgia, ASST Papa Giovanni XXIII, piazza Organizzazione Mondiale della
Sanità, 24127 Bergamo (BG), e-mail: carlinobrembo@gmail.com
LXII Congresso Nazionale SNO, 27-30 settembre 2023, Firenze.
Atti a cura di Pasquale Palumbo e Bruno Zanotti.
Copyright © 2023 by new Magazine edizioni s.r.l., Trento, Italia. www.newmagazine.it ISBN: 978-88-8041-138-3

- 23 -