Posterior Approach for Upper Cervical Schwannomas (C1–C2): Two Case Reports and Literature Review

Abstract

Upper cervical schwannomas at the C1–C2 level are rare and present surgical challenges due to the complex anatomy and proximity to critical neurovascular structures. We present two cases of schwannomas located at the C1–C2 junction treated via a posterior approach. In the first case, a 75-yearold female underwent laminectomy, and in the second, a woman in her 30s underwent laminoplasty. Both surgeries achieved gross total resection with favorable neurological outcomes. We discuss the rationale for the surgical approach, the importance of preserving spinal stability, and the role of individualized decision-making in managing these rare tumors