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Spine
Diagnosis
Spine Postprocedural Imaging
Hardware
Occipitocervical Fixation
Occipitocervical Fixation
Jeffrey S. Ross, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Post Procedure

        • Outcomes

          TERMINOLOGY

          • Abbreviations

            • Occipitocervical fixation (OCF)

          • Synonyms

            • Occipitoatlantoaxial fixation

          PREPROCEDURE

          • Indications

            • Contraindications

              PROCEDURE

              • Procedure Steps

                POST PROCEDURE

                • Expected Outcome

                  OUTCOMES

                  • Complications

                    Selected References

                    1. Ashafai NS et al: Occipitocervical fusion: an updated review. Acta Neurochir Suppl. 125:247-52, 2019
                    2. Lopez AJ et al: Anatomy and biomechanics of the craniovertebral junction. Neurosurg Focus. 38(4):E2, 2015
                    3. Conroy E et al: C1 lateral mass screw-induced occipital neuralgia: a report of two cases. Eur Spine J. 19(3):474-6, 2010
                    4. Lall R et al: A review of complications associated with craniocervical fusion surgery. Neurosurgery. 67(5):1396-402; discussion 1402-3, 2010
                    5. Lu DC et al: Nuances of occipitocervical fixation. Neurosurgery. 66(3 Suppl):141-6, 2010
                    6. Winegar CD et al: A systematic review of occipital cervical fusion: techniques and outcomes. J Neurosurg Spine. 13(1):5-16, 2010
                    7. Ahmed R et al: Fusions at the craniovertebral junction. Childs Nerv Syst. 24(10):1209-24, 2008
                    8. Finn MA et al: Surgical treatment of occipitocervical instability. Neurosurgery. 63(5):961-8; discussion 968-9, 2008
                    9. Takami T et al: Importance of fixation angle in posterior instrumented occipitocervical fusion. Neurol Med Chir (Tokyo). 48(6):279-82; discussion 282, 2008
                    10. Wolfla CE: Anatomical, biomechanical, and practical considerations in posterior occipitocervical instrumentation. Spine J. 6(6 Suppl):225S-232S, 2006
                    11. Inamasu J et al: Posterior instrumentation surgery for craniocervical junction instabilities: an update. Neurol Med Chir (Tokyo). 45(9):439-47, 2005
                    12. Lee SC et al: Complications of fixation to the occiput-anatomical and design implications. Br J Neurosurg. 18(6):590-7, 2004
                    13. Oda I et al: Biomechanical evaluation of five different occipito-atlanto-axial fixation techniques. Spine (Phila Pa 1976). 24(22):2377-82, 1999
                    14. Ebraheim NA et al: An anatomic study of the thickness of the occipital bone. Implications for occipitocervical instrumentation. Spine (Phila Pa 1976). 21(15):1725-9; discussion 1729-30, 1996
                    Related Anatomy
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                    Related Differential Diagnoses
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                    References
                    Tables

                    Tables

                    KEY FACTS

                    • Preprocedure

                      • Procedure

                        • Post Procedure

                          • Outcomes

                            TERMINOLOGY

                            • Abbreviations

                              • Occipitocervical fixation (OCF)

                            • Synonyms

                              • Occipitoatlantoaxial fixation

                            PREPROCEDURE

                            • Indications

                              • Contraindications

                                PROCEDURE

                                • Procedure Steps

                                  POST PROCEDURE

                                  • Expected Outcome

                                    OUTCOMES

                                    • Complications

                                      Selected References

                                      1. Ashafai NS et al: Occipitocervical fusion: an updated review. Acta Neurochir Suppl. 125:247-52, 2019
                                      2. Lopez AJ et al: Anatomy and biomechanics of the craniovertebral junction. Neurosurg Focus. 38(4):E2, 2015
                                      3. Conroy E et al: C1 lateral mass screw-induced occipital neuralgia: a report of two cases. Eur Spine J. 19(3):474-6, 2010
                                      4. Lall R et al: A review of complications associated with craniocervical fusion surgery. Neurosurgery. 67(5):1396-402; discussion 1402-3, 2010
                                      5. Lu DC et al: Nuances of occipitocervical fixation. Neurosurgery. 66(3 Suppl):141-6, 2010
                                      6. Winegar CD et al: A systematic review of occipital cervical fusion: techniques and outcomes. J Neurosurg Spine. 13(1):5-16, 2010
                                      7. Ahmed R et al: Fusions at the craniovertebral junction. Childs Nerv Syst. 24(10):1209-24, 2008
                                      8. Finn MA et al: Surgical treatment of occipitocervical instability. Neurosurgery. 63(5):961-8; discussion 968-9, 2008
                                      9. Takami T et al: Importance of fixation angle in posterior instrumented occipitocervical fusion. Neurol Med Chir (Tokyo). 48(6):279-82; discussion 282, 2008
                                      10. Wolfla CE: Anatomical, biomechanical, and practical considerations in posterior occipitocervical instrumentation. Spine J. 6(6 Suppl):225S-232S, 2006
                                      11. Inamasu J et al: Posterior instrumentation surgery for craniocervical junction instabilities: an update. Neurol Med Chir (Tokyo). 45(9):439-47, 2005
                                      12. Lee SC et al: Complications of fixation to the occiput-anatomical and design implications. Br J Neurosurg. 18(6):590-7, 2004
                                      13. Oda I et al: Biomechanical evaluation of five different occipito-atlanto-axial fixation techniques. Spine (Phila Pa 1976). 24(22):2377-82, 1999
                                      14. Ebraheim NA et al: An anatomic study of the thickness of the occipital bone. Implications for occipitocervical instrumentation. Spine (Phila Pa 1976). 21(15):1725-9; discussion 1729-30, 1996