Please use this identifier to cite or link to this item:
Title: Neurological recovery after occipitocervical fixation.
Authors: Tan, K.J.
Hee, H.T. 
Issue Date: Dec-2007
Citation: Tan, K.J., Hee, H.T. (2007-12). Neurological recovery after occipitocervical fixation.. Journal of orthopaedic surgery (Hong Kong) 15 (3) : 323-326. ScholarBank@NUS Repository.
Abstract: PURPOSE: To report on 14 consecutive cases of occipitocervical fixation. METHODS: Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before and after surgery using the Ranawat grade. Intra-operative somatosensory evoked potentials were monitored. RESULTS: The main indications for surgery were rheumatoid arthritis (n=6) and cervical metastasis (n=4). 77% of the patients demonstrated neurological improvement. Four out of the 5 non-ambulatory patients (Ranawat grade IIIB) regained ambulatory status postoperatively. No patient had neurological deterioration or evidence of vertebral artery or spinal cord injury. One endured a superficial wound infection and 2 had implant breakage. CONCLUSION: Although occipitocervical fixation is technically challenging and there are risks of serious neurologic or vascular complications, it remains a viable option with favourable results in patients requiring stabilisation of the craniocervical junction.
Source Title: Journal of orthopaedic surgery (Hong Kong)
ISSN: 10225536
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.

Page view(s)

checked on Nov 8, 2019

Google ScholarTM


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.