{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:24:43Z","timestamp":1790083483378,"version":"4.0.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T00:00:00Z","timestamp":1561420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,4]]},"abstract":"Abstract<\/jats:title>\n \n BACKGROUND<\/jats:title>\n The far-lateral approach is a mainstay in gaining access to the ventrolateral craniocervical junction for tumor removal and the treatment of vascular lesions. It has a reportedly high rate of cerebrospinal fluid leak (up to 20%), which can bring devastating consequences, including meningitis, and may require wound revision associated with a longer hospital stay.<\/jats:p>\n <\/jats:sec>\n \n OBJECTIVE<\/jats:title>\n To describe a closure technique employed to close the access corridor provided by the far-lateral approach and present an illustrative case.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n The far-lateral closure technique employs dural closure, followed by fat buttress, to alleviate dead space and reduce the likelihood of fluid collection and leakage.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n This technique has been successfully used by the senior author for more than 14 yr, with a rate of cerebrospinal fluid leak of 2.9%.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n This unique approach and closure of the far-lateral craniotomy is a reasonable option for the approach to the ventrolateral craniocervical junction. Skull base surgeons can consider the use of this closure technique to ensure watertight closure.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ons\/opz168","type":"journal-article","created":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T16:16:37Z","timestamp":1561479397000},"page":"384-390","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Unique Far-Lateral Closure Technique: Technical Note"],"prefix":"10.1227","volume":"18","author":[{"given":"Jonathan Perry","family":"Scoville","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus D","family":"Mazur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William T","family":"Couldwell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,4]]},"reference":[{"issue":"4","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"559","DOI":"10.3171\/jns.1986.64.4.0559","article-title":"Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions","volume":"64","author":"Heros","year":"1986","journal-title":"J Neurosurg"},{"issue":"4 Suppl","key":"bib2-20240909","first-page":"367","article-title":"Far-lateral approach to the craniocervical junction","volume":"57","author":"Lanzino","year":"2005","journal-title":"Neurosurgery"},{"issue":"6","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"E12","DOI":"10.3171\/2013.10.FOCUS13332","article-title":"The far-lateral approach for foramen magnum meningiomas","volume":"35","author":"Flores","year":"2013","journal-title":"FOC"},{"issue":"2","key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.1227\/01.neu.0000309474.83781.4b","article-title":"Far-lateral transcondylar approach: surgical technique and its application in neurenteric cysts of the cervicomedullary junction. Report of two cases","volume":"19","author":"Liu","year":"2005","journal-title":"Neurosurg Focus"},{"issue":"4","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.surneu.2009.05.006","article-title":"Foramen magnum meningiomas: experiences in 114 patients at a single institute over 15 years","volume":"72","author":"Wu","year":"2009","journal-title":"Surg Neurol"},{"issue":"6","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1227\/01.NEU.0000245629.77968.37","article-title":"Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach","volume":"59","author":"Bassiouni","year":"2006","journal-title":"Neurosurgery"},{"key":"bib7-20240909","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.wneu.2016.12.001","article-title":"Outcomes of endonasal and lateral approaches to petroclival meningiomas","volume":"99","author":"Koutourousiou","year":"2017","journal-title":"World Neurosurg"},{"issue":"8","key":"bib8-20240909","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1016\/j.jocn.2004.02.007","article-title":"Experience of a single institution treating foramen magnum meningiomas","volume":"11","author":"Pamir","year":"2004","journal-title":"J Clin Neurosci"},{"issue":"1","key":"bib9-20240909","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1227\/01.neu.0000440730.59133.1f","article-title":"Far lateral suboccipital approach for the treatment of proximal posteroinferior cerebellar artery aneurysms: surgical results and long-term outcome","volume":"55","author":"D\u2019Ambrosio","year":"2004","journal-title":"Neurosurgery"},{"issue":"4","key":"bib10-20240909","doi-asserted-by":"crossref","first-page":"E14","DOI":"10.3171\/2015.2.FOCUS14784","article-title":"\u201cLazy\u201d far-lateral approach to the anterior foramen magnum and lower clivus","volume":"38","author":"Moscovici","year":"2015","journal-title":"FOC"},{"issue":"02","key":"bib11-20240909","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1055\/s-0034-1390396","article-title":"C-shaped incision for far-lateral suboccipital approach: anatomical study and clinical correlation","volume":"76","author":"Lau","year":"2015","journal-title":"J Neurol Surg B"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/advance-article-pdf\/doi\/10.1093\/ons\/opz168\/28860215\/opz168.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opz168","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:51:39Z","timestamp":1786121499000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opz168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,25]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opz168","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,25]]},"assertion":[{"value":"2018-08-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}