Vol. 127 No. 2 (2023)
Original Article

Developmental and surgical anatomy of pathologies of the craniovertebral junction: a much-needed problematization of efficacy and long-term outcomes

Katarzyna Siwek
Division of Anatomy, Department of Human Morphology and Embryology, Wroclaw Medical University, Wroclaw, Poland
Wiktoria Wieczorek
Faculty of Stomatology, Wrocław Medical University, Wrocław, Poland
Marcelina Łopińska
Department of Anatomy, Collegium Medicum, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland
Katarzyna Polak-Boroń
Department of Anatomy, Collegium Medicum, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland
Arthur Saniotis
Biological Anthropology and Comparative Anatomy Research Unit, School of Biomedicine, The University of Adelaide. Australia.
Francesco Maria Galassi
University of Lodz
Małgorzata Suchanecka
Division of Anatomy, Department of Human Morphology and Embryology, Wrocław, Poland

Published 2023-12-31

Keywords

  • craniovertebral junction,
  • Chiari malformation,
  • Wallenberg syndrome,
  • syringomyelia,
  • atlantoaxial dislocations,
  • surgical management
  • ...More
    Less

How to Cite

Siwek, K., Wieczorek, W., Łopińska, M., Polak-Boroń, K., Saniotis , A., Galassi, F. M., & Suchanecka, M. (2023). Developmental and surgical anatomy of pathologies of the craniovertebral junction: a much-needed problematization of efficacy and long-term outcomes. Italian Journal of Anatomy and Embryology, 127(2), 29–37. https://doi.org/10.36253/ijae-14666

Abstract

Introduction. Due to its complex anatomy and function the craniovertebral junction (CVJ) is prone to several pathological conditions. The unique topography of neuro-vascular and bony structures makes surgical management of this area particularly challenging. Methods. A systematic online literature search was conducted in PubMed, Google Scholar, Scopus, and Web of Science with keywords relating to Chiari malformation, Wallenberg syndrome, Syringomyelia, and atlantoaxial dislocations. Results. This paper presents an up-to-date summary of the pathogenesis and surgical management of Chiari malformation, Wallenberg syndrome, syringomyelia, and atlantoaxial dislocation with particular emphasis on developmental and surgical anatomy. Conclusion. In such complex pathologies of the CVJ, the many factors contributing to the patient’s condition and the aspects playing a key role in the treatment process are all difficult to be considered concurrently. A better and universal surgical technique is impossible to be established.

Metrics

Metrics Loading ...