Occipitothoracic fusion [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Occipitothoracic fusion ======

Dysphagia after Occipitothoracic [[fusion]] is caused by the narrowing of oropharyngeal space due to direct compression from the anteriorly protruded mid-cervical spine
((Kaneyama S, Sumi M, Kasahara K, Kanemura A, Takabatake M, Yano T. Dysphagia After Occipitothoracic Fusion is Caused by Direct Compression of Oropharyngeal Space Due to Anterior Protrusion of Mid-cervical Spine. Clin Spine Surg. 2017 Aug;30(7):314-320. doi: 10.1097/BSD.0000000000000190. PMID: 28746127.)).
----
Occipitothoracic fusion for rheumatoid destructive cervical lesions can be effective in improving neurologic deficit if performed while patients can still sit
((Hirano K, Matsuyama Y, Sakai Y, Katayama Y, Imagama S, Ito Z, Wakao N, Yoshihara H, Miura Y, Kamiya M, Sato K, Nakamura H, Ishiguro N. Surgical complications and management of occipitothoracic fusion for cervical destructive lesions in RA patients. J Spinal Disord Tech. 2010 Apr;23(2):121-6. doi: 10.1097/BSD.0b013e3181993315. PMID: 20065865.))
----
The use of 3D technology has greatly facilitated the performance of the occipitothoracic fixation and could, in the future, contribute to safer pediatric spinal fixation procedures
((Pijpker PAJ, Kuijlen JMA, Kaptein BL, Pondaag W. Three-Dimensional-Printed Drill Guides for Occipitothoracic Fusion in a Pediatric Patient With Occipitocervical Instability. Oper Neurosurg (Hagerstown). 2021 Mar 16:opab060. doi: 10.1093/ons/opab060. Epub ahead of print. PMID: 33728473.)).
----
Matsuyama et al. performed occipitothoracic fusion surgery in RA patients with the destruction of the [[cervical spine]]. Preoperative [[halo-vest]] was very effective for improving the neurologic status, for the general condition, and for an optimal sagittal alignment. Occipitothoracic fusion using unit rods gave satisfactory long-term clinical results compared with the prognosis of patients in whom the disease follows its natural course
((Matsuyama Y, Kawakami N, Yoshihara H, Tsuji T, Kamiya M, Yukawa Y, Ishiguro N. Long-term results of occipitothoracic fusion surgery in RA patients with destruction of the cervical spine. J Spinal Disord Tech. 2005 Feb;18 Suppl:S101-6. doi: 10.1097/01.bsd.0000127700.29969.e6. PMID: 15699794.))