ArticleGlobal spine journal2020
Occipitocervical Fixation: General Considerations and Surgical Technique.
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 54 citations in OpenAlex.
- Occipital plate-assisted posterior reduction for tumor-related severe atlantoaxial dislocation: a single-case surgical technique.Journal of spine surgery (Hong Kong) · 2026Article
- Gorham-Stout disease of the craniovertebral junction presenting with bow hunter syndrome and cerebellar infarction treated by occipitocervical fusion: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Orthopedic Biomaterials in the Clinical Reconstruction of Osteoporotic Atlantoaxial Injuries: A Review.Bioengineering (Basel, Switzerland) · 2026Review
- Article
- Atlanto-occipital condyle fixation and fusion for the treatment of traumatic atlanto-occipital dislocation: a case report.BMC surgery · 2026Article
- Outcomes of patients with cervical spine metastasis treated with different surgical approaches-decision based on location.World journal of surgical oncology · 2026Article
- Article
- A novel bone screw implantation strategy in C1-2 instability: a framework for evolving high cervical spine surgery.Neurosurgical review · 2026Article
- The Role of Recombinant Human Bone Morphogenetic Protein-2 in Atlantoaxial Arthrodesis: Institutional Predictors and Systematic Review of Outcomes.Journal of clinical medicine · 2025Review
- Surgical management of progressive spinal deformities in FKBP14-associated Ehlers-Danlos syndrome: a case report and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Review
- Change in the angle of cervical lordosis after occipito-cervical fixation in the course of instability of C1-C2 in patients with rheumatoid arthritis.Rheumatology international · 2025Article
- Risk factors and prognosis analysis of dysphagia after occipitocervical fusion surgery: a retrospective study of 43 cases.Journal of orthopaedic surgery and research · 2025Article
- Unexpected Neurological Deterioration Following Occipitocervical Fusion Surgery: A Case Report.Cureus · 2025Article
- Comparison of crossed and parallel rod configurations used in posterior occipitocervical and atlantoaxial fixations: a retrospective cohort study.Journal of orthopaedic surgery and research · 2024Article
- The Impact of Intraoperative CT-Based Navigation in Congenital Craniovertebral Junction Anomalies: New Concepts of Treatment.Brain sciences · 2024Article
- Differentiating the Structural and Functional Instability of the Craniocervical Junction.Healthcare (Basel, Switzerland) · 2024Review
- Atlantoaxial Instability in the Course of Rheumatoid Arthritis in Relation to Selected Parameters of Sagittal Balance.Journal of clinical medicine · 2024Article
- Severe traumatic atlantoaxial dislocation and type III odontoid fracture treated with occipitocervical fixation: a case report.Journal of surgical case reports · 2024Article
- Article
- A Novel Technique for Occipitocervical Fusion with Triple Rod Connection to Prevent Implant Failure.Cureus · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designNarrative literature review.
objectiveTo review and present details on the occipitocervical fixation (OCF) technique as well as considerations for planning the procedure.
methodsWe present the surgical technique of OCF in a step-by-step didactic and practical manner with surgical tips and tricks, including C1 and C2 screw fixation techniques. Additionally, we discuss complications, the extension of fusion, types of OCF, and how to avoid common side effects associated with OCF.
resultsThe complex and mobile anatomy of the craniocervical junction, when requiring fixation and fusion, warrants rigid instrumentation that can be achieve using a modern screw-plate-rod construct. Indications for OCF are craniocervical instability, and atlantoaxial instability when selective atlantoaxial fusion is not feasible. OCF generally involves occiput-C2 fusion. C1 fixation is generally unnecessary, since it increases the surgical time and is associated with the risk of vascular complications. Selective occiput-C2 fusion is recommended when there is no need for including the cervical subaxial region (eg, when stenosis or fractures coexist in the subaxial spine), and good fixation is achieved at C2. Most instrumentation systems now have occipital plates that are not pre-integrated to rods, making fixation much simpler. Surgical steps, from position to wound closure, are presented in detail, with pearls for practice and discussion of cervical alignment.
conclusionsOCF is a challenging procedure, with potential risk of severe adverse effects. Understanding the surgical indications, as well as the nuances of the surgical technique, is required to improve patient outcomes and avoid complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.