Neurosurgery

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Extra resources for Adult & Pediatric Spine

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Corpus epistroph . preop. 10 124-75 FIG. 1134 Fig. 17. Continued from Fig. 16 Microsurgical topography A Situation after incision of mucosa and resection of the superficial and deep muscle layers 1a Palpation of Dens basis medial to border of Articulatio atlanto-occipitalis 1a and 1b The distance between the two joints (20 mm) is normal. The midline is localized by Tuberculum pharyngeum and Tuberculum atlantis ant. 2 Incision of Membrana atlanto-occipitalis ant. B 1 Drilling into upper margin of Arcus atlantis ant.

Ff: Arcus atlantis ant. ~~~~~rnrff---~Tuberc . atlantis ant. Capsula articul. M. longus (alii ® Lig . ant. 13~1 ______________________________________________________ ~126 Fig. 13. Microsurgical topography. Continued from Fig. 12 E After the deep muscle layer has been mobilized (M. rectus capitis ant. Capsula articularis atlanto-occipitalis can also be seen from medial direction 1 Exposure' of the anterior margin of Foramen occipitale after cutting of fibrous connections 2 Drilling into Arcus atlantis ant.

22. Continuation of Fig. 21 Enlarged view of the topographical relationship of the operative approach I to the vessel-nerve-bundle Abbreviations: bi M. biventer hygl M. hyoglossus rna A. XII shy M. stylohyoideus thhy M. thyreohyoideus tsu A. " I /' -'\ I \ \ / ~, 1/ \ ) '> \ 'I /' I I I / / I I I , I I \ \ \ ~ 1,/ \ ""- /IA' \ , \ R. descendens + Y. jug. int. (arotis ext. into __ • ~crossing Ansa cervicalis prot (n. XII ) R. XIl \ FIG. 146 Fig. 23. Continued from Fig. 22 A Topographical relationship between the vesselnerve-bundle and deeper lying structures Anterior view B Base of skull and upper cervical spine with the exit points of the vessels and nerves which form the vessel-nerve-bundle.

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Adult & Pediatric Spine


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