Neurological Recovery after Occipitocervical Fixation
Purpose. To report on 14 consecutive cases of occipitocervical fixation. Methods. Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2007-12-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949900701500317 |
| _version_ | 1818512631668932608 |
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| author | KJ Tan HT Hee |
| author_facet | KJ Tan HT Hee |
| author_sort | KJ Tan |
| collection | DOAJ |
| description | Purpose. To report on 14 consecutive cases of occipitocervical fixation. Methods. Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before and after surgery using the Ranawat grade. Intra-operative somatosensory evoked potentials were monitored. Results. The main indications for surgery were rheumatoid arthritis (n=6) and cervical metastasis (n=4). 77% of the patients demonstrated neurological improvement. Four out of the 5 non-ambulatory patients (Ranawat grade IIIB) regained ambulatory status postoperatively. No patient had neurological deterioration or evidence of vertebral artery or spinal cord injury. One endured a superficial wound infection and 2 had implant breakage. Conclusion. Although occipitocervical fixation is technically challenging and there are risks of serious neurologic or vascular complications, it remains a viable option with favourable results in patients requiring stabilisation of the craniocervical junction. |
| first_indexed | 2024-12-10T23:49:37Z |
| format | Article |
| id | doaj.art-f268d22640db433a83e4e05a3a5c1fa5 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-10T23:49:37Z |
| publishDate | 2007-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-f268d22640db433a83e4e05a3a5c1fa52022-12-22T01:28:49ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902007-12-011510.1177/230949900701500317Neurological Recovery after Occipitocervical FixationKJ TanHT HeePurpose. To report on 14 consecutive cases of occipitocervical fixation. Methods. Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before and after surgery using the Ranawat grade. Intra-operative somatosensory evoked potentials were monitored. Results. The main indications for surgery were rheumatoid arthritis (n=6) and cervical metastasis (n=4). 77% of the patients demonstrated neurological improvement. Four out of the 5 non-ambulatory patients (Ranawat grade IIIB) regained ambulatory status postoperatively. No patient had neurological deterioration or evidence of vertebral artery or spinal cord injury. One endured a superficial wound infection and 2 had implant breakage. Conclusion. Although occipitocervical fixation is technically challenging and there are risks of serious neurologic or vascular complications, it remains a viable option with favourable results in patients requiring stabilisation of the craniocervical junction.https://doi.org/10.1177/230949900701500317 |
| spellingShingle | KJ Tan HT Hee Neurological Recovery after Occipitocervical Fixation Journal of Orthopaedic Surgery |
| title | Neurological Recovery after Occipitocervical Fixation |
| title_full | Neurological Recovery after Occipitocervical Fixation |
| title_fullStr | Neurological Recovery after Occipitocervical Fixation |
| title_full_unstemmed | Neurological Recovery after Occipitocervical Fixation |
| title_short | Neurological Recovery after Occipitocervical Fixation |
| title_sort | neurological recovery after occipitocervical fixation |
| url | https://doi.org/10.1177/230949900701500317 |
| work_keys_str_mv | AT kjtan neurologicalrecoveryafteroccipitocervicalfixation AT hthee neurologicalrecoveryafteroccipitocervicalfixation |