Outcomes of occipitocervical fixation and fusion in posttraumatic craniocervical instability

Background: in recent years, proper management of posttraumatic craniocervical instability is possible. However, there a paucity literature with long follow-up these patients. Purpose: To assess outcomes after surgical treatment occipitocervical fixation or without fusion. Methods: Among 20 patients unstable junction who underwent was an equal number both females and males mean age 62.85 ± 17.23 years. The NDI, neck pain VAS, neurological assessment by ASIA score, imaging, complications, bony fusion were assessed. Radiological anterior dental interval (ADI), posterior (PDI), Occipito cervical angle (POCA). RESULTS: Clinically all presented only one tetraplegia. 90.8 months. A solid achieved 100 % the NDI VAS improved significantly from 26 6.4 7.7 at presentation to 15.3 3.6 final follow-up. atlantodental (AADI, PADI), (POCA) significantly. One patient required early revision. CONCLUSION: Occipitocervical can be considered valuable option high rate fewer complications. Temporary occipital may later removal but associated unintended occipitoatlantal