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Updated: Jun 27, 2026

Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
Troublesome occipital neuralgia developed by c1-c2 harms construct
Woo-Tack Rhee1, Seung-Hoon You, Suk-Kyoung Kim
1Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea.
Abstract:
Recently, Harms and Melcher modified Goel's approach, the C1 lateral mass and C2 pedicle screw fixation, and the new technique is currently in favor among neurosurgeons. Comparing to the advantages of Harms construct, the disadvantages were not extensively investigated. We experienced a patient with severe occipital pain developed after the C1 lateral mass screw placement for the traumatic atlantoaxial instability. We reviewed literatures about Harms construct with focus on the occipital neuralgia as a postoperative complication and suggest here technical tips to avoid the troublesome pain.
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