An Approach to Managing Disorders Affecting the Craniovertebral Junction

The craniovertebral junction (CVJ), or the first junction, can be affected by a variety of pathological states. Some of these conditions could represent a gray area in that they can be treated by general neurosurgeons or such spe-cialists as skull base or spinal surgeons. However, some conditions are best managed with a multidisciplinary approach. The importance of in-depth knowledge of the anatomy and biomechanics of this junction cannot be overemphasized. Identifying what represents clinical sta-bility or instability is key to successful diagnosis and, hence, treatment. In this report, the second in a 3-article series, we describe our approach to managing CVJ pa-thologies in a case-based fashion to illustrate key concepts.

Automated summary

The craniovertebral junction (CVJ) can be affected by various pathological states, some of which can be treated by general or specialized surgeons, while others require a multidisciplinary approach. It is crucial to have in-depth knowledge of the anatomy and biomechanics of this junction to ensure successful diagnosis and treatment. This report presents a case-based approach to managing CVJ pathologies, highlighting key concepts.