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Journal of Bone and Joint Surgery, 1969;51:1621-1626.
© 1969 by The Journal of Bone and Joint Surgery, Inc

Anterior Occipito-Cervical Fusion Using an Extra-Pharyngeal Exposure

J. ROBIN DE ANDRADE M.D., M.S., F.R.C.S. (ENGLAND AND CANADA)1 and IAN MACNAB M.D., F.R.C.S. (ENGLAND AND CANADA)1

1 From the Division of Orthopaedic Surgery, Wellesley Hospital, Toronto

A method of exposing the anterior aspect of the occipitocervical spine is reported. The field of surgery is entirely outside the pharynx and larynx.

The operation is an upward extension of the well known anterior route to the cervical spine, and hence is extensile.

Arthrodesis of the occipitocervical region and the high cervical spine can be readily performed through this exposure. Five cases are reported of such a procedure.

It is suggested that surgery on the pharynx, occiput, atlanto-axial region, foramen magnum, and the base of the brain and brain stem could be performed through this approach.


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