Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The AO Spine Upper Cervical Injury Score (UCIS): Development of a Consensus-Based Scoring System Based on Perceived Injury Severity Scores.

Global spine journal·2026
Same author

Clinically Significant Changes in Global Cervical Range of Motion Following Anterior Cervical Discectomy and Fusion: A Systematic Review.

JBJS reviews·2026
Same author

The Modified Spinal Instability Spondylodiscitis Score (mSISS): Adaptation and Validation of a Novel Classification System for Spinal Instability in Spondylodiscitis.

Global spine journal·2026
Same author

Minimal Clinically Important Difference (MCID) and Long-Term Prospective Validation of the AO Spine PROST (Patient Reported Outcome Spine Trauma).

Global spine journal·2026
Same author

Response to the Letter to the Editor on "Perioperative GLP-1 Receptor Agonist Use is Associated with Reduced Revisions and Complications Following ACDF: A Propensity-Matched Analysis".

Global spine journal·2026
Same author

A 7-year minimum follow-up of the M6-L total disk replacement for low back pain with radiculopathy in young railway employees: a retrospective single-center study.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2026

Related Experiment Video

Updated: Dec 14, 2025

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
12:25

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

4.4K

Occipitocervical Fixation: General Considerations and Surgical Technique.

Andrei Fernandes Joaquim1, Joseph A Osorio2, K Daniel Riew3

  • 1University of Campinas (UNICAMP), Campinas, SP, Brazil.

Global Spine Journal
|July 18, 2020
PubMed
Summary

Occipitocervical fixation (OCF) is a complex surgical technique for craniocervical instability. Proper planning and understanding surgical nuances are crucial for successful outcomes and avoiding complications.

Keywords:
craniocervicalfusionoccipitocervicalsurgical technique

More Related Videos

Acrylic Resin Molding Based Head Fixation Technique in Rodents
07:51

Acrylic Resin Molding Based Head Fixation Technique in Rodents

Published on: January 12, 2016

12.2K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

947

Related Experiment Videos

Last Updated: Dec 14, 2025

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
12:25

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

4.4K
Acrylic Resin Molding Based Head Fixation Technique in Rodents
07:51

Acrylic Resin Molding Based Head Fixation Technique in Rodents

Published on: January 12, 2016

12.2K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

947

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spine Surgery

Background:

  • The craniocervical junction is complex and mobile, requiring rigid instrumentation for fixation and fusion.
  • Indications for occipitocervical fixation (OCF) include craniocervical and atlantoaxial instability when selective fusion is not feasible.

Purpose of the Study:

  • To review and present details on the occipitocervical fixation (OCF) technique.
  • To discuss considerations for planning the OCF procedure, including surgical tips and tricks.

Main Methods:

  • A narrative literature review was conducted.
  • The surgical technique of OCF is presented step-by-step, including C1 and C2 screw fixation.
  • Complications, fusion extension, OCF types, and side effect avoidance are discussed.

Main Results:

  • OCF typically involves occiput-C2 fusion, with C1 fixation generally being unnecessary.
  • Selective occiput-C2 fusion is recommended for improved outcomes and reduced surgical time.
  • Modern instrumentation simplifies OCF, with detailed surgical steps provided.

Conclusions:

  • Occipitocervical fixation (OCF) is a challenging procedure with potential risks.
  • Thorough understanding of surgical indications and techniques is essential for improving patient outcomes and preventing complications.