Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.

Background Data: Occipitocervical junction instability has always been a challenging surgical problem owing to the unique anatomical and biomechanical characteristics of this region. Purpose: To detect the safety, efficacy and related complications using polyaxial screw-based constructs with rod / p...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Ashraf Moharam, Mohamed Sawan
Formato: article
Lenguaje:EN
Publicado: Egyptian Spine Association 2012
Materias:
Acceso en línea:https://doaj.org/article/b731bd2971984d6f97e67f8daef17efb
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:b731bd2971984d6f97e67f8daef17efb
record_format dspace
spelling oai:doaj.org-article:b731bd2971984d6f97e67f8daef17efb2021-12-02T01:10:56ZResults of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.DOI:10.21608/ESJ.2012.37602314-89502314-8969https://doaj.org/article/b731bd2971984d6f97e67f8daef17efb2012-01-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3760.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Occipitocervical junction instability has always been a challenging surgical problem owing to the unique anatomical and biomechanical characteristics of this region. Purpose: To detect the safety, efficacy and related complications using polyaxial screw-based constructs with rod / plate system for occipitocervical instability. Study design: This is a retrospective study for 14 patients underwent occipitocervical fusion for instability using polyaxial screw-based constructs with rod / plate system during the period from January 2007 to September 2011 in Cairo University Hospitals and Nasser Institute Hospital. Methods: Our study reviewed the surgical technique, the variety of instrumentation, the postoperative outcome, various complications and fusion rates related to this technique. Results: The 14 patients were 8 males and 6 females with a mean age of 44.9 years. Patients were operated upon with an average operative time of 91 minutes,and with average blood loss of 660 ml. The mean number of levels fused was 3.3 levels. The mean follow up period was 18 months. Clinical improvement occurred in 12 patients. Stability was evident in all the cases (100%), however bony fusion was reported in 12 patients (86%). Post operatively one case had infection at the operative bed which improved after 2 months.Conclusion: Surgical fusion and fixation of the occipitocervical junction using the new instrumentation system inspite technically demanding have proven clinical success and high fusion rate as well as biomechanical stability, with a very low rate of complications related to this procedure. (2012ESJ004) Ashraf MoharamMohamed SawanEgyptian Spine AssociationarticlefusioninstabilityInstrumentationOccipitocervicalNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 1, Iss 1, Pp 39-48 (2012)
institution DOAJ
collection DOAJ
language EN
topic fusion
instability
Instrumentation
Occipitocervical
Neurology. Diseases of the nervous system
RC346-429
spellingShingle fusion
instability
Instrumentation
Occipitocervical
Neurology. Diseases of the nervous system
RC346-429
Ashraf Moharam
Mohamed Sawan
Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.
description Background Data: Occipitocervical junction instability has always been a challenging surgical problem owing to the unique anatomical and biomechanical characteristics of this region. Purpose: To detect the safety, efficacy and related complications using polyaxial screw-based constructs with rod / plate system for occipitocervical instability. Study design: This is a retrospective study for 14 patients underwent occipitocervical fusion for instability using polyaxial screw-based constructs with rod / plate system during the period from January 2007 to September 2011 in Cairo University Hospitals and Nasser Institute Hospital. Methods: Our study reviewed the surgical technique, the variety of instrumentation, the postoperative outcome, various complications and fusion rates related to this technique. Results: The 14 patients were 8 males and 6 females with a mean age of 44.9 years. Patients were operated upon with an average operative time of 91 minutes,and with average blood loss of 660 ml. The mean number of levels fused was 3.3 levels. The mean follow up period was 18 months. Clinical improvement occurred in 12 patients. Stability was evident in all the cases (100%), however bony fusion was reported in 12 patients (86%). Post operatively one case had infection at the operative bed which improved after 2 months.Conclusion: Surgical fusion and fixation of the occipitocervical junction using the new instrumentation system inspite technically demanding have proven clinical success and high fusion rate as well as biomechanical stability, with a very low rate of complications related to this procedure. (2012ESJ004)
format article
author Ashraf Moharam
Mohamed Sawan
author_facet Ashraf Moharam
Mohamed Sawan
author_sort Ashraf Moharam
title Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.
title_short Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.
title_full Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.
title_fullStr Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.
title_full_unstemmed Results of Surgical Fixation of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report of 14 Cases.
title_sort results of surgical fixation of occipitocervical instability using polyaxial plate/rod system. report of 14 cases.
publisher Egyptian Spine Association
publishDate 2012
url https://doaj.org/article/b731bd2971984d6f97e67f8daef17efb
work_keys_str_mv AT ashrafmoharam resultsofsurgicalfixationofoccipitocervicalinstabilityusingpolyaxialplaterodsystemreportof14cases
AT mohamedsawan resultsofsurgicalfixationofoccipitocervicalinstabilityusingpolyaxialplaterodsystemreportof14cases
_version_ 1718403279516336128