Nuances of Occipitocervical Fixation

Abstract OBJECTIVE To describe the indications and techniques for occipitocervical (OC) fixation. METHODS The operative nuances of current OC fixation techniques are described. A surgical technique video is included. RESULTS Pertinent literature is reviewed regarding OC fixation techniques. CONCLUSI...

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Veröffentlicht in:	Neurosurgery 2010-03, Vol.66 (suppl_3), p.A141-A146
Hauptverfasser:	Lu, Daniel C., Roeser, Andrew C., Mummaneni, Valli P., Mummaneni, Praveen V.
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia Atlanto-Axial Joint - pathology Atlanto-Axial Joint - surgery Atlanto-Occipital Joint - anatomy & histology Atlanto-Occipital Joint - surgery Cervical Atlas - anatomy & histology Cervical Atlas - surgery Contraindications Fractures Humans Internal Fixators - standards Intubation Joint Instability - pathology Joint Instability - surgery Magnetic resonance imaging Neurosurgery Occipital Bone - anatomy & histology Occipital Bone - surgery Patients Postoperative Complications - etiology Postoperative Complications - prevention & control Range of Motion, Articular - physiology Skull Base - anatomy & histology Skull Base - surgery Spinal Fusion - instrumentation Spinal Fusion - methods Surgery Veins & arteries Wire X-rays
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Beschreibung
Zusammenfassung:	Abstract OBJECTIVE To describe the indications and techniques for occipitocervical (OC) fixation. METHODS The operative nuances of current OC fixation techniques are described. A surgical technique video is included. RESULTS Pertinent literature is reviewed regarding OC fixation techniques. CONCLUSION OC fixation systems have evolved from wire and cable techniques to plates, rods, and screws. Screw-rod constructs are easy to implant and biomechanically more rigid than wire techniques.
ISSN:	0148-396X 1524-4040
DOI:	10.1227/01.NEU.0000365744.54102.B9