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Occipital-Cervical Approach and Stabilization

  • A. Karim Ahmed
  • Ian Suk
  • Ali Bydon
  • Nicholas TheodoreEmail author
Chapter

Abstract

The spinal column is the most common site for skeletal metastases but involves the cervical spine in only 8–20% of cases. Metastatic disease is more common than primary spinal tumors, and surgery for metastatic spine disease is generally palliative. Due to its junctional location, metastatic disease from the occiput to C2 is more likely to cause instability, compared to the mobile subaxial spine. As such, patients most commonly present with refractory neck pain from mechanical instability. In the setting of cervical spine or craniovertebral junction tumors, the treatment goals for patients undergoing occipital-cervical stabilization are to decompress neural elements, realign the cervical spine, and stabilize the spinal column.

Keywords

Occipito-cervical fusion OC fusion Craniovertebral junction 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • A. Karim Ahmed
    • 1
  • Ian Suk
    • 1
  • Ali Bydon
    • 1
  • Nicholas Theodore
    • 1
    Email author
  1. 1.Department of NeurosurgeryThe Johns Hopkins HospitalBaltimoreUSA

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