Related Experiment Video
Updated: Aug 11, 2026
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Clinical experience with rigid occipitocervical fusion in the management of traumatic upper cervical spinal
Sai-Cheung Lee1, Jyi-Feng Chen, Shih-Tseng Lee
1Department of Neurosurgery, Chang Gung University and Chang Gung Memorial Hospital, 5, Fu-Shing Street, 333, Kweishan, Taoyuan, Taiwan.
Abstract:
Traumatic injuries of the craniovertebral junction or the upper cervical spine may result in occipitocervical (OC) or upper cervical spinal instability. Internal fixation can provide immediate stability to this region. Over a 6-year period, 16 patients with traumatic upper cervical spinal instability underwent a posterior approach OC fusion, using a plate and screw system, at the neurosurgical department of our institution. One patient died. The postoperative course of all the other patients was uncomplicated. At the most recent follow-up examination, all patients had satisfactory fusion. OC fusion with a plate and screw system is a safe and effective method for the treatment of traumatic craniovertebral and high cervical spine instability. Accurate imaging diagnosis and strict patient selection are the keys to a successful outcome.