Does isolated atlantoaxial fusion result in better clinical outcome compared to occipitocervical fusion?

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Occipitocervical fusion.

The evolution of occipitocervical fixation and new rigid universal screw-rod construct technology has allowed secure anchorage at each level of the occipitocervical junction with the elimination of rigid external orthoses. Rigid occipitocervical instrumentation constructs have achieved higher fusion rates and less postoperative immobilization-associated complications. Outcomes have improved com...

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Posterior Instrumentation for Occipitocervical Fusion

Since 1995, 29 consecutive patients with craniocervical spine instability due to several pathologies were managed with posterior occipitocervical instrumentation and fusion. Laminectomy was additionally performed in nineteen patients. The patients were divided in two groups: Group A which included patients managed with screw-rod instrumentation, and Group B which included patients managed with ...

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Comparison of occipitocervical and atlantoaxial fusion in treatment of unstable Jefferson fractures

BACKGROUND Controversy exists regarding the management of unstable Jefferson fractures, with some surgeons performing reduction and immobilization of the patient in a halo vest and others performing open reduction and internal fixation. This study compares the clinical and radiological outcome parameters between posterior atlantoaxial fusion (AAF) and occipitocervical fusion (OCF) constructs in...

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Occipitocervical fusion in skeletal dysplasia: a new surgical technique.

STUDY DESIGN Retrospective cohort study. OBJECTIVE This study describes clinical and radiological results of a new cable technique for occipitocervical fusion (OCF) in children with skeletal dysplasia (SD). SUMMARY OF BACKGROUND DATA Anatomical variability and poor bone quality make upper cervical surgery technically challenging in patients with SD. We present a new cable technique for OCF ...

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Correlation of Posterior Occipitocervical Angle and Surgical Outcomes for Occipitocervical Fusion

Study Type Retrospective cohort study. Introduction Craniocervical instability is a surgical disease, most commonly due to rheumatoid arthritis, trauma, erosive pathologies such as tumors and infection, and advanced degeneration. Treatment involves stabilization of the craniovertebral junction by occipitocervical instrumentation and fusion. However, the impact of the fixed occipitocervical angl...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery and Research

سال: 2020

ISSN: 1749-799X

DOI: 10.1186/s13018-019-1525-y