ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022
Complications of occipitocervical fixation: retrospective review of 128 patients with 5-year mean follow-up.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Multiple Rod Construct for Occipito-Cervical Fusion: Overcoming Challenges With Enabling Technologies.Cureus · 2026Article
- Intracranial erosion of an occipitocervical rod through the foramen magnum following occipitocervical fusion for retro-odontoid pannus: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Iliac end-to-end structural autograft for complex failure after occipital cervical fusion: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- 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
- More postoperative complications and revision surgery after occipitocervical fusion than after atlantoaxial fusion: a retrospective multicenter cohort study.Asian spine journal · 2025Article
- Unexpected Neurological Deterioration Following Occipitocervical Fusion Surgery: A Case Report.Cureus · 2025Article
- Robotic assistance for upper cervical instrumentation: report on accuracy and safety.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- [Effectiveness comparison of robot-assisted and traditional freehand technology in treatment of atlantoaxial dislocation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- A Novel Technique for Basilar Invagination Treatment in a Patient with Klippel-Feil Syndrome: A Clinical Example and Brief Literature Review.Medicina (Kaunas, Lithuania) · 2024Review
- Article
- Surgical treatment of craniocervical instability: comparison of two constructs regarding clinical and radiological outcomes of 100 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Clinical application of spinal robot in cervical spine surgery: safety and accuracy of posterior pedicle screw placement in comparison with conventional freehand methods.Neurosurgical review · 2023Article
- Robotics in Cervical Spine Surgery: Feasibility and Safety of Posterior Screw Placement.Neurospine · 2023Article
- Research on pharyngeal bacterial flora in transoral atlantoaxial operation and the postoperative follow-up study.BMC musculoskeletal disorders · 2022Article
- Letter to the editor concerning "Complications of occipitocervical fixation: retrospective review of 128 patients with 5-year mean follow-up" by M. Zileli, et al. (Eur Spine J [2021]; doi: 10.1007/s00586-021-07037-2).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Answer to the letter to the editor of Salunke P, et al. concerning "Complications of occipitocervical fixation: retrospective review of 128 patients with 5-year mean follow-up" by M. Zileli, et al. (Eur Spine J [2021]; doi: 10.1007/s00586-021-07,037-2).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Combined C1-2 transarticular screw fixation and C1 laminoplasty with interlaminar bone transplant for retro-odontoid pseudotumor: illustrative case.Journal of neurosurgery. Case lessons · 2022Article
- Are C1 screws needed in occipitocervical fusion for traumatic cervical spine injury?Journal of craniovertebral junction & spineArticle
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No grant is acknowledged in the PubMed record.
Abstract
purposeOccipitocervical fusion is necessary for many pathologies of the craniocervical junction. The anatomy of the region is unique, and fusion can cause significant morbidity. This retrospective review aims to investigate the complication rates and outcomes of occipitocervical fixation. MATERIAL AND
methodsThis is a retrospective review of 128 patients with occipitocervical fixation operated between 1994 and 2020. The average follow-up is 63 months.
resultsThe indications of occipitocervical fixation were basilar invagination (53 patients; 41.4%), trauma (25 patients; 19.5%), tumor (23 patients; 18%), instability due to rheumatoid arthritis (13 patients; 10.2%), cervical deformity (7 patients; 5.5%) and os odontoideum (7 patients; 5.5%). There were six early postoperative (1st month) deaths. We observed complications in 67 patients (52%). Most common complication was implant-related (32%), followed by wound problems (23.4%), systemic and other complications (11.7%), neurologic complications (6.2%). Implants are removed in 31 patients (24%) for different reasons: deep wound infection (7), local pain and restriction of head movements (21), respiratory distress and swallowing problems (2), screw fracture and local pain (1).
conclusionsOccipitocervical fixation has quite large number of complications and significantly restricts head movements. With the advent of our biomechanical concepts, indications should be limited, and shorter cervical fixations should be preferred. LEVEL OF EVIDENCE: Diagnostic: individual cross-sectional studies with consistently applied reference standard and blinding.
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