Advancing Neurosurgical Precision through Applied Neuroanatomy of Cranial and Spinal Approaches

Neurosurgical anatomy forms the foundation of modern neurosurgery, underpinning every operative decision and technique refinement. Since the pioneering contributions of Mahmut Gazi Yaşargil and Albert Rhoton, the field has embraced an anatomically driven approach that integrates microsurgical and endoscopic perspectives to achieve maximal safety and efficiency. Anatomical and morphometric studies have expanded the understanding of complex three‑dimensional relationships within cranial, skull base, and spinal regions, guiding surgical strategy development and minimizing tissue disruption. Recent advancements in imaging modalities, including high‑resolution MRI, tractography, and 3D reconstruction, have elevated anatomical visualization, offering new insights into surgical corridors and neuronavigation. Nevertheless, ongoing challenges remain in correlating cadaveric anatomy with live operative findings, harmonizing morphometric standards, and understanding the microvascular networks that influence approach selection and patient outcomes.This Research Topic aims to consolidate recent evidence and innovative insights in applied neuroanatomy related to cranial and spinal surgical approaches. It seeks to highlight studies that bridge the gap between anatomical theory and operative application, thereby refining clinical practice. Specifically, the Research Topic encourages contributions that document new or modified approaches, provide morphometric analyses supporting safer surgical trajectories, and foster a comparative understanding of microsurgical and endoscopic access routes. The goal is to promote a multidisciplinary perspective combining neuroanatomy, imaging, and surgical experience that advances both research and education in neurosurgical training and practice.To gather further insights into the applied anatomical principles guiding operative neurosurgery, we welcome articles addressing, but not limited to, the following themes:- Cadaveric studies examining detailed anatomy of specific approaches or novel techniques.- In vivo anatomical assessments from clinical cases, including “How I do it” contributions illustrating operative landmarks.- Morphometric and radiological studies offering quantitative or correlative analyses (e.g., surgical corridor dimensions, craniometric or vertebral parameters, positioning studies).- Comparative evaluations of cranial or spinal surgical techniques emphasizing anatomical and technical differences.- Systematic reviews or meta-analyses focused on neuroanatomical parameters impacting surgical outcomes.Original cadaveric or intraoperative illustrations, radiological figures, and comparative anatomical studies are particularly encouraged, while narrative reviews lacking original documentation will not be considered. Topic editors: Miguel Bertelli Ramos, Guilherme Finger, Mateus Reghin Neto, Quilis-Quesada Vicent Source: https://www.frontiersin.org/research-topics/82108/advancing-neurosurgical-precision-through-applied-neuroanatomy-of-cranial-and-spinal-approaches