Surgical Approaches in Metastatic Disease Involving the Craniocervical Junction

A. Karim Ahmed, Andrew Schilling, Zach Pennington, Ian Suk, Nicholas Theodore

Research output: Chapter in Book/Report/Conference proceedingChapter


The most common site for skeletal metastases is the spinal column, with the prevalence of metastatic disease far outweighing that of primary spinal tumors. Despite the increased prevalence of metastatic spine disease, metastases to the craniocervical junction (from the occiput to C2) are rare, representing only 0.5% of metastatic lesions. The craniocervical junction delineates the transition between the brain and spinal cord, and this highly mobile region is at increased risk for instability. The most common presentation of metastatic disease here is refractory mechanical neck pain that is rarely accompanied by neurologic deficits. The goals of treatment for metastatic spinal tumors of the craniocervical junction are palliative in nature, intended to relieve pain and to maximize function.

Original languageEnglish (US)
Title of host publicationNontraumatic Cervical Myelopathy
Subtitle of host publicationPathologies, Surgical Techniques, and Nuances
PublisherNova Science Publishers, Inc.
Number of pages10
ISBN (Electronic)9781536172522
ISBN (Print)9781536172515
StatePublished - Jan 1 2020

ASJC Scopus subject areas

  • Neuroscience(all)


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