Endoscopic Endonasal Odontoidectomy

Matteo Zoli, Diego Mazzatenta, Adelaide Valluzzi, Carmelo Mascari, Ernesto Pasquini, Giorgio Frank

Research output: Contribution to journalArticlepeer-review


Odontoidectomy is the treatment of choice for irreducible ventral cervical-medullary compression. The endonasal endoscopic approach is an innovative approach for odontoidectomy. The aim of this article is to identify in which conditions this approach is indicated, discussing variants of the technique for selected cases of craniovertebral malformation with platybasia. We believe that the technical difficulties of this approach are balanced by the advantages for patients. Some conditions related to the patient and to the anatomy of the craniovertebral junction may favor adoption of the endoscopic endonasal approach, which should be considered complementary and not alternative to standard approaches.

Original languageEnglish
Pages (from-to)427-436
Number of pages10
JournalNeurosurgery Clinics of North America
Issue number3
Publication statusPublished - Jul 1 2015


  • Basilar invagination
  • Craniovertebral junction
  • Endoscopic endonasal surgery
  • Occipital-cervical degenerative disease
  • Odontoidectomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery


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