Occipitocervical contoured rod stabilization: Does it still have a role amidst the modern stabilization techniques?
dc.contributor.author | Kalra, Samir K | en_US |
dc.contributor.author | Jain, Vijendra K | en_US |
dc.contributor.author | Jaiswal, Awadesh K | en_US |
dc.contributor.author | Behari, Sanjay | en_US |
dc.date.accessioned | 2007-10-28 | en_US |
dc.date.accessioned | 2009-06-03T10:40:50Z | |
dc.date.available | 2007-10-28 | en_US |
dc.date.available | 2009-06-03T10:40:50Z | |
dc.date.issued | 2007-10-28 | en_US |
dc.description.abstract | Background: The occipitocervical contoured rod (CR) stabilization for use in craniovertebral junction (CVJ) pathologies is an effective and economical technique of posterior fusion (PF). Aims: The various indications for CR in CVJ pathologies are discussed. Settings and Design: Retrospective analysis. Materials and Methods: Fifty-four patients (mean age: 31.02 +/- 13.44 years; male: female ratio=5.75:1) who underwent CR stabilization are included. The majority had congenital atlantoaxial dislocation (AAD; n=50); two had CVJ tuberculosis; one each had rheumatoid arthritis and C2-3 listhesis, respectively. The indications for CR fusion in congenital AAD were associated Chiari 1 malformation (C1M) (n=29); occipitalized C1 arch and/or malformed or deficient C1 or C2 posterior elements (n=9); hypermobile AAD (n=2); and, rotatory AAD (n=3). Contoured rod as a revision procedure was also performed in seven patients. Most patients were in poor grade (18 in Grade III [partial dependence for daily needs] and 15 in Grade IV [total dependence]); 15 patients were in Grade II [independent except for minor deficits] and six in Grade I [no weakness except hyperreflexia or neck pain]. Results: Twenty-four patients improved, 18 stabilized and six deteriorated at a mean follow-up (FU) of 17.78 +/- 19.75 (2-84) months. Six patients were lost to FU. In 37 patients with a FU of at least three months, stability and bony union could be assessed. Thirty-one of them achieved a bony fusion/ stable construct. Conclusions: Contoured rod is especially useful for PF in cases of congenital AAD with coexisting CIM, cervical scoliosis, sub-axial instability and/or asymmetrical facet joints. In acquired pathologies with three-column instability, inclusion of joints one level above the affected one by using CR, especially enhances stability. | en_US |
dc.description.affiliation | Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226014, India. sbehari@sgpgi.ac.in. | en_US |
dc.identifier.citation | Kalra SK, Jain VK, Jaiswal AK, Behari S. Occipitocervical contoured rod stabilization: Does it still have a role amidst the modern stabilization techniques? Neurology India. 2007 Oct-Dec; 55(4): 363-8 | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/120385 | |
dc.language.iso | eng | en_US |
dc.source.uri | https://neurologyindia.com | en_US |
dc.title | Occipitocervical contoured rod stabilization: Does it still have a role amidst the modern stabilization techniques? | en_US |
dc.type | Journal Article | en_US |
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