Skip Navigation LinksHome > March 1, 2005 - Volume 30 - Issue 5 > Occipitocervical Fixation: Long-Term Results
Spine:
doi: 10.1097/01.brs.0000154715.88911.ea
Cervical Spine

Occipitocervical Fixation: Long-Term Results

Deutsch, Harel MD; Haid, Regis W. Jr MD; Rodts, Gerald E. Jr MD; Mummaneni, Praveen V. MD

Collapse Box

Abstract

Study Design. The study is a retrospective review of 58 patients who underwent occipitocervical fusion between 1997 and 2001.

Objectives: Our objective is to study the clinical results after occipitocervical fixation with long-term follow-up and assess factors contributing to clinical success.

Methods: Data from patient charts, operative notes, physician office notes, and imaging studies were incorporated in the study. Myelopathy was assessed using a Nurick scale for preoperative and postoperative evaluation. Fusion was assessed using cervical plane films with flexion and extension views.

Results: Mean follow-up was 36 months, with all patients having a greater than 1-year follow-up. The most common pathology was congenital cranial settling (41%) followed by trauma (22%) and rheumatoid arthritis (17%). Myelopathy was the most common presentation (62%) followed by pain (28%). A successful fusion occurred in 48 out of 51 patients (94%). Symptoms improved in 86% of patients, whereas 35% improved 1 Nurick grade. Complications occurred in 30% of patients. The cervical wound infection rate was 5%. The rate of adjacent level degeneration was 7%. The mortality rate was 1.7%.

Conclusions: Occipitocervical instrumentation allows for very high fusion rates without the need for halo vest immobilization. All patients with successful fixation have pain resolution. Myelopathy improves in most patients, whereas one-third of patients demonstrate dramatic improvement.

© 2005 Lippincott Williams & Wilkins, Inc.

Follow Us!

  

Login

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.