Occipitocervical fixation: A case report of our techniques and results
| Autor: | Galih Prasetya Sakadewa, Prisilla Desfiandi, Zaky Asad Alhaq, Rahadyan Magetsari, Yudha Mathan Sakti, Zikrina A. Lanodiyu, Sonny Wijanarko, Husein Ahmad |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2021.106633 |
| Popis: | Introduction Occipitocervical fixation (OCF) can provide good fusion rate to treat various craniovertebral junction (CVJ) pathologies. Biomechanically it gives rigid fixation, good fusion rate, and allows for effective decompression. However, rigid fixation on the mobile occipitocervical junction has shortcomings that affect the post-operative clinical functional outcomes and range of motion. This study aimed to evaluate and elaborate the functional outcomes, range of motions, and radiographic findings in our patients underwent OCF. Case report We presented a report of 3 patients underwent posterior decompression procedure followed by occipitocervical fixation. All three patients' clinical outcome was assessed clinically by, Japanese Orthopaedic Association (JOA) score and grading, Karnofsky, range of motion and radiographic cervical alignment evaluation parameters. Result All patients have seen improvement (minimal 1 grade in JOA and >30 points of Karnofsky score) in 3 months after the procedure, had a tolerable range of motion limitation, normal range of cervical lordotic and cervical brow vertebral angle (CBVA). Unfortunately, one patient with loss of cranial fixation may be related to history of infection and lack of post-operative wound care. Conclussion Our cases conclude that Occipitocervical fixation is a safe technique that provides excellent fusion rate with good functional outcome and tolerable range of motion limitation. Due to its unique anatomy and technically demanding, serial post-operative monitoring evaluation of this procedure is paramount. Highlights • Occipitocervical fixation (OCF) provide good fusion rate to treat various craniovertebral junction (CVJ) pathologies • Rigid fixation on the mobile occipitocervical junction has shortcomings that affect the post-operative clinical functional outcomes and range of motion. • A report of 3 patients underwent posterior decompression procedure followed by occipitocervical fixation. |
| Databáze: | OpenAIRE |
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