Minimally invasive techniques applied to the cranio-vertebral junction

Ken Hsuan Kan Chang, John Paul G. Kolcun, Michael Y. Wang

Research output: Chapter in Book/Report/Conference proceedingChapter


Unlike modern cervical and thoracolumbar surgery, many spine surgeons are not familiar with minimally invasive (MIS) techniques at the craniovertebral junction (CVJ). Due to its unique and complex anatomic structure, the CVJ is a technically challenging location for performing instrumentation and fusion. MIS approaches for anterior odontoid fixation, anterior transarticular fixation, posterior atlantoaxial fixation, and anterior occiput-to-axis fixation have been developed to fix fracture or instability due to a variety of pathologic conditions. With limited evidence in the literature, the application of MIS techniques to the CVJ awaits further effort from experts in spine surgery.

Original languageEnglish (US)
Title of host publicationSurgery of the Cranio-Vertebral Junction
PublisherSpringer International Publishing
Number of pages13
ISBN (Electronic)9783030187002
ISBN (Print)9783030186999
StatePublished - Jan 1 2019


  • Anterior occiput-to-axis fixation
  • Anterior transarticular screw
  • Craniovertebral junction (CVJ)
  • Fixation
  • Fusion
  • Minimally invasive spine surgery (MISS)
  • Odontoid screw
  • Posterior atlantoaxial fixation

ASJC Scopus subject areas

  • Medicine(all)


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