Abstract
Craniocervical traumatic injuries affect the skull base, atlas and/or axis, and account for a minority of cervical injuries. The craniocervical junction is biomechanically responsible for the majority of axial rotation at the atlantoaxial complex and the greatest range of flexion/extension at the occipital-C1 joint. Therefore, identifying appropriate surgical indications is essential. The goals of occipitocervical fusion are neurological improvement, biomechanical stability, and correction of imbalance. Significant advances in surgical technique, hardware, and technology have occurred. Currently, the plate–screw–rod arthrodesis technique is the most effective technique. In the future, biomechanical studies and intraoperative navigation may reduce potential intraoperative and postoperative complications.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 20-26 |
| Number of pages | 7 |
| Journal | Seminars in Spine Surgery |
| Volume | 29 |
| Issue number | 1 |
| DOIs | |
| State | Published - Mar 1 2017 |
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ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
When is occipitocervical fusion necessary for upper cervical injuries? / Lee, Darrin J.; Ahmadpour, Arjang; Ament, Jared D.; Goodarzi, Amir; Panchal, Ripul R.
In: Seminars in Spine Surgery, Vol. 29, No. 1, 01.03.2017, p. 20-26.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - When is occipitocervical fusion necessary for upper cervical injuries?
AU - Lee, Darrin J.
AU - Ahmadpour, Arjang
AU - Ament, Jared D.
AU - Goodarzi, Amir
AU - Panchal, Ripul R.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Craniocervical traumatic injuries affect the skull base, atlas and/or axis, and account for a minority of cervical injuries. The craniocervical junction is biomechanically responsible for the majority of axial rotation at the atlantoaxial complex and the greatest range of flexion/extension at the occipital-C1 joint. Therefore, identifying appropriate surgical indications is essential. The goals of occipitocervical fusion are neurological improvement, biomechanical stability, and correction of imbalance. Significant advances in surgical technique, hardware, and technology have occurred. Currently, the plate–screw–rod arthrodesis technique is the most effective technique. In the future, biomechanical studies and intraoperative navigation may reduce potential intraoperative and postoperative complications.
AB - Craniocervical traumatic injuries affect the skull base, atlas and/or axis, and account for a minority of cervical injuries. The craniocervical junction is biomechanically responsible for the majority of axial rotation at the atlantoaxial complex and the greatest range of flexion/extension at the occipital-C1 joint. Therefore, identifying appropriate surgical indications is essential. The goals of occipitocervical fusion are neurological improvement, biomechanical stability, and correction of imbalance. Significant advances in surgical technique, hardware, and technology have occurred. Currently, the plate–screw–rod arthrodesis technique is the most effective technique. In the future, biomechanical studies and intraoperative navigation may reduce potential intraoperative and postoperative complications.
UR - http://www.scopus.com/inward/record.url?scp=85016466204&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85016466204&partnerID=8YFLogxK
U2 - 10.1053/j.semss.2016.09.005
DO - 10.1053/j.semss.2016.09.005
M3 - Article
AN - SCOPUS:85016466204
VL - 29
SP - 20
EP - 26
JO - Seminars in Spine Surgery
JF - Seminars in Spine Surgery
SN - 1040-7383
IS - 1
ER -