A New Device for Occipito-cervical Fixation
Atlanto-axial instability and dislocation, due to cranio-cervical malformations, trauma, inflammatory or neoplastic diseases, are best treated by occipito-cervical fusion. The arch of the atlas, in fact, is often unsuitable for fixation and needs to be removed to decompress the spinal cord. Several techniques have been proposed for occipitocervical fusion. Among them, the onlay construct , occipito-axial wiring, with or without the use of acrylic resins or bone graft [2, 3, 7, 8], and implants of various metallic devices [1, 5, 6].
KeywordsPosterior Arch Halo Vest Occipitocervical Fusion Metallic Device Severe Neck Pain
Unable to display preview. Download preview PDF.
- 1.Cantore G, Ciappetta P, Delfini R (1984) New steel device for occipitocervical fixation. Technical note. J Neurosurg 60: 1104–1106Google Scholar
- 2.De Groote M, Vercauteren M, Uyttendaele D (1981) Occipito-cervical fusion in rheumatoid arthritis. Acta Orthop Belgica 47: 685–698Google Scholar
- 3.Hamblen DL (1969) Occipito-cervical fusion. Indications, technique and results. J Bone Joint Surg 49 B: 33–45Google Scholar
- 4.Newman P, Sweetnam R (1969) Occipito-cervical fusion. An operative technique and its indication. J Bone Joint Surg 51 B: 423–431Google Scholar
- 5.Ransford AO, Crockard HA, Pozo JL, Thomas MP, Nelson LW (1986) Cranio- cervical instability treated by contoured loop fixation. J Bone Joint Surg 68 B: 173–177Google Scholar
- 8.Wertheim SB, Bohlman HH (1987) Occipitocervical fusion. Indications, technique and long-term results in thirteen patients. J Bone Joint Surg 69 A: 833–836Google Scholar