True to the title, this work is focused on surgery of the craniovertebral junction and subaxial cervical spine. There are multiple authors, the vast majority of whom are experienced spine and head and neck surgeons from Bologna and Modena. The editors do not identify their target audience, but the work has broad appeal. Many of the basic concepts and the anatomy will be useful to the novice surgeon or the surgeon in training. The experienced surgeon will benefit from reviewing the pertinent anatomy and the thoughtful “pearls” provided. The text is divided into 3 parts: Anatomy, Planning, and Surgical Approaches. The Anatomy section is superb. It segregates the material into 3 regions: the craniocervical junction, the subaxial cervical spine, and anatomy of the neck. The osseous, ligamentous, muscular, and vascular anatomy are each presented in the craniovertebral section. The vertebral artery anatomy in this section also includes subaxial vertebral artery anatomy that is important. The subaxial section addresses all of the topics of the craniovertebral segment and adds detail on the spinal nerves. The anatomy of the neck section addresses a number of topics including the laryngeal nerves, the digastric and other hyoid muscles, thyroid arteries, and some important vascular anomalies. Part II, Planning, is subdivided into Interventional Radiology, Anesthesia, Instrumentation, Tracheotomy Technique, and Surgical Planning for the Oncological Patient. Each topic is only addressed in a superficial fashion but overall the important aspects are conveyed. The editors are to be congratulated for including tracheotomy in the work. It may have been helpful to include degenerative and traumatic pathologies within this section. The final part focused on surgical approaches. This section is subdivided into anterior approaches for the craniovertebral junction, anterior and lateral approaches for the subaxial cervical spine, posterior approaches to the subaxial cervical spine, illustrative cases, and complications. The salient features of the anterior approaches are well delineated and some nice cadaveric work using the DaVinci robot (Intuitive Surgical Inc, Sunnyvale, California) is included. The anterolateral approaches are presented for different regions of the spine. The approach is somewhat tedious but the information accurate and useful. All of the approach sections neglect to discuss the indications for the specific approach. While that is not necessary in a work such as this atlas, at least some mention of the rational for each approach would be beneficial to the novice reader. The cases are interesting and informative. They provide insight into how the authors manage a number of different pathologies. The Complication section is also good, but it does not include what is perhaps the most common complication of cervical spine surgery: pulmonary problems. View largeDownload slide View largeDownload slide The illustrations are excellent and compliment the work well. One deficiency is failure to include the cervical thoracic junction. This region is just as important in cervical spine surgery as the craniovertebral junction and hopefully in a future edition this region will be included. In summary, this is a very good book that presents a large amount of excellent data in an easy to read fashion. Disclosure The author has no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article. Copyright © 2018 by the Congress of Neurological Surgeons This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/about_us/legal/notices)
Neurosurgery – Oxford University Press
Published: May 8, 2018
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