Surgical approaches to the cranio-vertebral junction disorders: a spectrum for tailored approaches

The cranio-vertebral junction (CVJ) is an anatomically complex region, affected by a wude range of tumor, vascular and traumatic disease. In recento years surgical approaches to CVJ underwent technical improvements that increased both surgical manoeuvring space and working angle, with minimal manipulation of vascular-nervous structures. However, in some cases, the extent of bone demolition raise the issue of post-operative instability and the need of appropriate reconstruction techniques. We report our experience in a case series of CVJ diseases, discussion for each of them the type of surgical approach