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Occipital Cervical Stabilization with Rod-Screw Systems

  • Michael A. Finn
  • Meic H. Schmidt
Chapter

Abstract

Modern screw-based occipitocervical constructs enable immediate stabilization of the craniocervical junction (Dickman et al., J Neurosurg 74:190–198, 1991; Finn and Apfelbaum, Neurosurgery 66(3 Suppl):184–192, 2010; Vender et al., Neurosurg Focus 16:E9, 2004). Various screw trajectories allow for concomitant decompression and the creation of biomechanically stable constructs in a broad array of conditions. Bony fusion is successful in >95% of cases without requiring the use of rigid external immobilization. The goals of segmental instrumented occipitocervical fusion are stabilization of the craniocervical junction, reduction of deformity, minimization of segments immobilized, and bony fusion of instrumented segments.

Keywords

Pedicle Screw Bony Fusion Craniocervical Junction Drill Guide Transarticular Screw 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Dickman CA, Sonntag VK, Papadopoulos SM et al (1991) The interspinous method of posterior atlantoaxial arthrodesis. J Neurosurg 74:190–198PubMedCrossRefGoogle Scholar
  2. 2.
    Finn MA, Apfelbaum RI (2010) Atlantoaxial transarticular screw fixation: update on technique and outcomes in 269 patients. Neurosurgery 66(3 Suppl):184–192PubMedCrossRefGoogle Scholar
  3. 3.
    Finn MA, Bishop FS, Dailey AT (2008) Surgical treatment of occipitocervical instability. Neurosurgery 63(5):961–968PubMedCrossRefGoogle Scholar
  4. 4.
    Gluf WM, Schmidt MH, Apfelbaum RI (2005) Atlantoaxial transarticular screw fixation: a review of surgical indications, fusion rate, complications, and lessons learned in 191 adult patients. J Neurosurg Spine 2:155–163PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of NeurosurgerySchool of Medicine, University of ColoradoAuroraUSA
  2. 2.Division of Spine Surgery, Department of NeurosurgeryClinical Neurosciences Center, University of UtahSalt Lake CityUSA

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