Journal of Spine

Giuseppe Giovinazzo

Publications

• Editorial
  Cranio-Spinal Junction Tumours: Role of Transoral Approach Followed by Stereotactic Radiotherapy
  Author(s): Mario Francesco Fraioli, Pierpaolo Lunardi, Giuseppe Giovinazzo and Bernardo FraioliMario Francesco Fraioli, Pierpaolo Lunardi, Giuseppe Giovinazzo and Bernardo Fraioli
  
  Cranio-spinal junction tumors are usually approached through posterior, postero-lateral and far lateral approaches but, in case of prevalently anterior extension, with posterior and postero-lateral displacement of brainstem, anterior transoral approach should be considered to achieve a satisfactory tumor removal. Anterior transoral approach allows a direct exposition of the tumor without necessity of nervous/vascular structures manipulation. Postoperative instability is not frequent, and usually posterior stabilization is rarely required. Although transoral approach allows removing only the median part of the tumor’s and in few cases radical removal can be performed, it presents an extremely low rate of new neurological deficit and a rapid resumption of vital activities. Postoperative tumor remnant can be treated, in our experience, with hypofractionated stereotactic radiotherap.. Read More»
  DOI: 10.4172/2165-7939.1000e117

  Abstract PDF