Technical Description of the Mini Far-Lateral Approach: A Refined, Stability-Preserving Corridor to the Petroclival Region

The mini far-lateral approach provides comparable petroclival exposure, compared with both the classical and keyhole variants, by combining surgical effectiveness with the preservation of stability. These results support its adoption as the standard method for ventral and ventrolateral craniovertebral lesions, with wider condylectomy or fusion reserved for specific trajectory-driven indications.

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Publication Details

Journal
Operative Neurosurgery
Published
2026-03-26
DOI
https://doi.org/10.1227/ons.0000000000002011
Primary Topic
Spinal Fractures and Fixation Techniques
Type
article
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article

Technical Description of the Mini Far-Lateral Approach: A Refined, Stability-Preserving Corridor to the Petroclival Region

Helbert de Oliveira Manduca Palmiero, Carlos Gilberto Carlotti, Şeref Doğan, Leonardo B. O. Brenner et al.
Operative Neurosurgery
Spinal Fractures and Fixation Techniques
article

Technical Description of the Mini Far-Lateral Approach: A Refined, Stability-Preserving Corridor to the Petroclival Region

Helbert de Oliveira Manduca Palmiero, Carlos Gilberto Carlotti, Şeref Doğan, Leonardo B. O. Brenner, Eberval Gadelha Figueiredo, Fernando R. Gondim Cabral de Vasconcelos, Mark C. Preul, Robert F. Spetzler
article en

Abstract

The mini far-lateral approach provides comparable petroclival exposure, compared with both the classical and keyhole variants, by combining surgical effectiveness with the preservation of stability. These results support its adoption as the standard method for ventral and ventrolateral craniovertebral lesions, with wider condylectomy or fusion reserved for specific trajectory-driven indications.

Operative Neurosurgery
Bursa Uludağ Üni̇versi̇tesi̇ (TR), Barrow Neurological Institute (US), Universidade de São Paulo (BR), Universidade Estadual de Ponta Grossa (BR)
Life in Land
Openalex Percentile: Top 7%
Spinal Fractures and Fixation Techniques
DOISourceOpenAlex
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Technical Description of the Mini Far-Lateral Approach: A Refined, Stability-Preserving Corridor to the Petroclival Region — Helbert de Oliveira Manduca Palmiero, Carlos Gilberto Carlotti, et al. · Operative Neurosurgery (2026) | TGRS Research Map | TGRS