Posterior Cervical Fusion Surgery: Occiput to C2
Occipitocervical fusion (OCF) is used to treat several conditions that may cause instability and neurologic compromise at the craniovertebral junction. Craniocervical instability can present with a range of signs and symptoms of myelopathy, lower cranial nerve deficits, and even headaches. There are several radiographic methods that can be utilized to assess for instability at the craniocervical junction. OCF can be accomplished using a variety of instrumentation techniques and bone grafts. The anatomy of the craniocervical junction, radiographic assessment, fusion techniques, postoperative management, and complications avoidance are reviewed in this chapter.
KeywordsOccipitocervical fusion Craniocervical instability Craniovertebral junction Atlanto-occipital dissociation
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