Craniovertebral Junction Surgeries

Precision at the Base of the Brain – Restoring Function, Preserving Life

Experiencing neck pain, imbalance, or nerve-related symptoms due to abnormalities at the junction of your skull and spine? The craniovertebral junction (CVJ) is a highly complex and delicate region where the skull meets the upper cervical spine—and conditions here demand expert surgical care.

CVJ surgeries are performed to correct structural defects, relieve spinal cord compression, and restore stability, especially in life-threatening or progressive disorders affecting this critical area.

What Is the Craniovertebral Junction?

The CVJ includes the base of the skull, the atlas (C1), and axis (C2) vertebrae. It houses vital neurological structures, including the lower brainstem and upper spinal cord, and allows for essential head and neck movements. Disorders in this region can cause serious neurological problems and require precise surgical management.

Common Conditions That May Require CVJ Surgery:

• Congenital anomalies (e.g., basilar invagination, atlantoaxial instability)

• Trauma to the C1-C2 vertebrae

• Rheumatoid arthritis affecting the cervical spine

• Chiari malformation with or without syringomyelia

• Tumors or infections at the skull base or upper spine

• Degenerative changes leading to instability or spinal cord compression

Goals of CVJ Surgery:

• Decompress the spinal cord and brainstem

• Correct anatomical alignment

• Stabilize the craniovertebral junction using implants (rods, screws, plates)

• Preserve neurological function and prevent progression of symptoms

Symptoms That May Indicate the Need for CVJ Surgery:

• Persistent neck pain and stiffness

• Weakness or numbness in arms or legs

• Difficulty walking or maintaining balance

• Dizziness or visual disturbances

• Breathing or swallowing difficulties

• Sudden neurological decline following trauma