Abstract
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 [4], 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].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cantore G, Ciappetta P, Delfini R (1984) New steel device for occipitocervical fixation. Technical note. J Neurosurg 60: 1104–1106
De Groote M, Vercauteren M, Uyttendaele D (1981) Occipito-cervical fusion in rheumatoid arthritis. Acta Orthop Belgica 47: 685–698
Hamblen DL (1969) Occipito-cervical fusion. Indications, technique and results. J Bone Joint Surg 49 B: 33–45
Newman P, Sweetnam R (1969) Occipito-cervical fusion. An operative technique and its indication. J Bone Joint Surg 51 B: 423–431
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: 173–177
Roy-Camille R, Saillant G (1972) Chirurgie du rachis cervical, osteosynthèse du rachis cervical supérieur. Nouv Presse Méd 1: 2847–2849
Teinturier P, Levai JP, Collin JP, Terver S (1982) La luxation atloido-axoidienne au cours du rhumatisme inflammatoire chronique. Résultats de 16 arthrodeses occipito-axoidiennes. Rev Chir Orthop 68: 529–538
Wertheim SB, Bohlman HH (1987) Occipitocervical fusion. Indications, technique and long-term results in thirteen patients. J Bone Joint Surg 69 A: 833–836
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag
About this paper
Cite this paper
Faccioli, F., Buffatti, P., Pinna, G., Dalle Ore, G. (1989). A New Device for Occipito-cervical Fixation. In: Louis, R., Weidner, A. (eds) Cervical Spine II. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9055-5_41
Download citation
DOI: https://doi.org/10.1007/978-3-7091-9055-5_41
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-9057-9
Online ISBN: 978-3-7091-9055-5
eBook Packages: Springer Book Archive