Endoscopic Endonasal Odontoidectomy and Posterior Fusion in a Single-Stage Surgery: Description of Surgical Technique and Outcome

Several anatomical and/or clinical studies have been reported, showing the interest of approaching the craniocervical junction (CCJ) through the nasal corridor. The availability of new technologies—such as endoscopes, high-definition endoscopic cameras, navigation systems, ultrasound micro-Doppler, dedicated endonasal instruments and bipolar forceps—has opened new horizons for management of pathologies involving this complex region, using the natural nasal corridors; this way/approach has demonstrated remarkable improvements in the quality of disease resection and in functional outcomes with lower morbidity.