Surgery of the cervical spine under conscious sedation has been rarely reported in the literature. The main indications are the lack of neurophysiological monitoring and surgery in patients with high cardiovascular risk. To date, no reports of awake C1–2 instrumentation have been published in the English-language literature.

RANC, nota de tapa | Ignacio J. Barrenechea, Carlos A. Bozzetti, Juan Manuel Lazarte, Néstor Yunis

Journal of Neurosurgery: Spine | Ignacio J. Barrenechea, M.D., Jonathan B. Lesser, M.D., Alberto l. Gidekel, M.D., Leon Turjanski, M.D., and Noel I. Perin, M.D., F.R.C.S.(ed). Diagnosis and Treatment of spinal cord herniation: a combined experience. J Neurosurg Spine 5:294ˆ302, 2006.

Journal of Neurosurgery: Spine | Shin H, Barrenechea IJ, Lesser J, Sen C, Perin NI. Occipitocervical fusion after resection of craniovertebral junction tumors.. J Neurosurg Spine. 2006 Feb;4(2):137-44