Abstract

Background: The transoral approach to the craniovertebral junction (CVJ) is considered be the most standard and direct way to access this region of the upper cervical spine when decompression is mandated. However, because of the morbidity related to this surgical option, the endoscopic endonasal approach (EEA) to the cervicomedullary junction has emerged as a well-accepted modality for accessing this challenging area of the caudal skull base. Because visualization of the dura can be limited and the local anatomy can appear indistinct during decompression, the authors aimed to explore the use of intraoperative ultrasound to assist with capturing images of the surgeon's interaction with the surgical target during EEA to the CVJ.

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