Occipital cervical stabilization using occipital condyles for cranial fixation: Technical case report

Neurosurgery

Volumn 65, Issue 6, 2009, Pages

  Uribe, Juan S ^a   Ramos, Edwin ^a   Baaj, Ali ^a   Youssef, A Samy ^a   Vale, Fernando L ^a  

^a UNIVERSITY OF SOUTH FLORIDA   (United States)

Author keywords

Condyle screw; Craniocervical fusion; Craniocervical instability; Craniocervical junction; Craniovertebral junction; Occipital condyle; Occipital condyle cervical fusion; Occipitocervical fusion; Occipitocervical junction

Indexed keywords

ADULT; ARTICLE; CASE REPORT; CERVICAL SPINE; ELECTROMYOGRAPHY; FLUOROSCOPY; FOLLOW UP; HUMAN; MALE; NECK PAIN; NEUROIMAGING; ODONTOID PROCESS FRACTURE; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PSEUDARTHROSIS; SPINE STABILIZATION; SURGICAL INSTRUMENT; SURGICAL TECHNIQUE; TRAFFIC ACCIDENT;

HUMANS; INTERNAL FIXATORS; MALE; NECK PAIN; ODONTOID PROCESS; POSTOPERATIVE CARE; SPINAL FRACTURES; SPINAL FUSION; YOUNG ADULT;

EID: 74349106726     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1227/01.NEU.0000349207.98394.FA     Document Type: Article

References (38)

1. Abumi K, Takada T, Shono Y, Kaneda K, Fujiya M: Posterior occipitocervical reconstruction using cervical pedicle screws and plate-rod systems. Spine 24:1425-1434, 1999. (Pubitemid 29331415)
2. Arnautovi KI, al-Mefty O, Pait TG, Krisht AF, Husain MM: The suboccipital cavernous sinus. J Neurosurg 86:252-262, 1997. (Pubitemid 27130685)
3. Bono CM, Parke WW, Garfin S. Development of the spine, in Herkowitz H, Garfin S, Eismont F., Bell GR, Balderston RA (eds): Rothman-Simeone The Spine. Philadelphia, Saunders, 2006, ed 5, pp 3-15.
4. Castillo C, Viñas FC, Gutikhonda M, Diaz FG: Microsurgical anatomy of the suboccipital segment of the vertebral artery. Neurol Res 20:201-208, 1998.
5. de Oliveira E, Rhoton AL Jr, Peace D: Microsurgical anatomy of the region of the foramen magnum. Surg Neurol 24:293-352, 1985.
6. Goel A, Laheri V: Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 129:47-53, 1994.
7. Gonzalez LF, Crawford NR, Chamberlain RH, Perez Garza LE, Preul MC, Sonntag VK, Dickman CA: Craniovertebral junction fixation with transarticular screws: Biomechanical analysis of a novel technique. J Neurosurg 98:202-209, 2003.
8. Grob D: Posterior occipitocervical fusion in rheumatoid arthritis and other instabilities. J Orthop Sci 5:82-87, 2000.
9. Grob D: Transarticular screw fixation for atlanto-occipital dislocation. Spine 26:703-707, 2001.
10. Grob D, Dvorak J, Panjabi MM, Antinnes JA: The role of plate and screw fixation in occipitocervical fusion in rheumatoid arthritis. Spine 19:2545-2551, 1994.
11. Grob D, Dvorak J, Panjabi M, Froehlich M, Hayek J: Posterior occipitocervical fusion. A preliminary report of a new technique. Spine 16:S17-S24, 1991.
12. Guidotti A: Morphometrical considerations on occipital condyles. Anthropol Anz 42:117-119, 1984.
13. Haher TR, Yeung AW, Caruso SA, Merola AA, Shin T, Zipnick RI, Gorup JM, Bono C: Occipital screw pullout strength. A biomechanical investigation of occipital morphology. Spine 24:5-9, 1999.
14. Hamblen DL: Occipito-cervical fusion. Indications, technique and results. J Bone Joint Surg Br 49B:33-45, 1967.
15. Harms J, Melcher RP: Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 26:2467-2471, 2001.
16. Heywood AW, Learmonth ID, Thomas M: Internal fixation for occipitocervical fusion. J Bone Joint Surg Br 70B:708-711, 1988.
17. Katsuta T, Matsushima T, Wen HT, Rhoton AL Jr: Trajectory of the hypoglossal nerve in the hypoglossal canal: Significance for the transcondylar approach. Neurol Med Chir (Tokyo) 40:206-210, 2000.
18. Magerl F, Seemann PS: Stable posterior fusion of the atlas and axis by transarticular screw fixation, in Kehr P, Weidner A (eds): Cervical Spine I. Vienna, Springer, 1987, pp 322-327.
19. Matsushima T, Natori Y, Katsuta T, Ikezaki K, Fukui M, Rhoton AL: Microsurgical anatomy for lateral approaches to the foramen magnum with special reference to transcondylar fossa (supracondylar transjugular tubercle) approach. Skull Base Surg 8:119-125, 1998.
20. Menezes AH: Craniovertebral junction anomalies: Diagnosis and management. Semin Pediatr Neurol 4:209-223, 1997.
21. Muthukumar N, Swaminathan R, Venkatesh G, Bhanumathy SP: A morphometric analysis of the foramen magnum region as it relates to the transcondylar approach. Acta Neurochir (Wien) 147:889-895, 2005.
22. Naderi S, Korman E, Citak G, Güvencer M, Arman C, Seno lu M, Tetik S, Arda MN: Morphometric analysis of human occipital condyle. Clin Neurol Neurosurg 107:191-199, 2005.
23. Nadim Y, Lu J, Sabry FF, Ebraheim N: Occipital screws in occipitocervical fusion and their relation to the venous sinuses: An anatomic and radiographic study. Orthopedics 23:717-719, 2000.
24. Nishikawa M, Ohata K, Baba M, Terakawa Y, Hara M: Chiari I malformation associated with ventral compression and instability: One-stage posterior decompression and fusion with a new instrumentation technique. Neurosurgery 54:1430-1435, 2004.
25. Nockels RP, Shaffrey CI, Kanter AS, Azeem S, York JE: Occipitocervical fusion with rigid internal fixation: Long-term follow-up data in 69 patients. J Neurosurg Spine 7:117-123, 2007.
26. Oda I, Abumi K, Sell LC, Haggerty CJ, Cunningham BW, McAfee PC: Biomechanical evaluation of five different occipito-atlanto-axial fixation techniques. Spine 24:2377-2382, 1999.
27. Pait TG, Al-Mefty O, Boop FA, Arnautovic KI, Rahman S, Ceola W: Insideoutside technique for posterior occipitocervical spine instrumentation and stabilization: Preliminary results. J Neurosurg 90:1-7, 1999.
28. Papagelopoulos PJ, Currier BL, Stone J, Grabowski JJ, Larson DR, Fisher DR, An KN: Biomechanical evaluation of occipital fixation. J Spinal Disord 13:336-344, 2000.
29. Paquis P, Breuil V, Lonjon M, Euller-Ziegler L, Grellier P: Occipitocervical fixation using hooks and screws for upper cervical instability. Neurosurgery 44:324-331, 1999.
30. Roberts DA, Doherty BJ, Heggeness MH: Quantitative anatomy of the occiput and the biomechanics of occipital screw fixation. Spine 23:1100-1108, 1998.
31. Sasso RC, Jeanneret B, Fischer K, Magerl F: Occipitocervical fusion with posterior plate and screw instrumentation. A long-term follow-up study. Spine 19:2364-2368, 1994.
32. Singh SK, Rickards L, Apfelbaum RI, Hurlbert RJ, Maiman D, Fehlings MG: Occipitocervical reconstruction with the Ohio Medical Instruments Loop: Results of a multicenter evaluation in 30 cases. J Neurosurg 98:239-246, 2003.
33. Uribe J, Ramos E, Vale F: Feasibility of occipital condyle screw placement for occipitocervical fixation: A cadaveric study and description of a novel technique. J Spinal Disord Tech 21:540-546, 2008.
34. Vaccaro AR, Lim MR, Lee JY: Indications for surgery and stabilization techniques of the occipito-cervical junction. Injury 36 [Suppl 2]:B44-B53, 2005.
35. Vale FL, Oliver M, Cahill DW: Rigid occipitocervical fusion. J Neurosurg 91:144-150, 1999.
36. Wen HT, Rhoton AL Jr, Katsuta T, de Oliveira E: Microsurgical anatomy of the transcondylar, supracondylar, and paracondylar extensions of the far-lateral approach. J Neurosurg 87:555-585, 1997.
37. Wertheim SB, Bohlman HH: Occipitocervical fusion. Indications, technique, and long-term results in thirteen patients. J Bone Joint Surg Am 69A:833-836, 1987.
38. Wolfla CE: Anatomical, biomechanical, and practical considerations in posterior occipitocervical instrumentation. Spine J 6:225S-232S, 2006.