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Troublesome Occipital Neuralgia Developed by C1-C2 Harms Construct  

Rhee, Woo-Tack (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
You, Seung-Hoon (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
Kim, Suk-Kyoung (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
Lee, Sang-Youl (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
Publication Information
Journal of Korean Neurosurgical Society / v.43, no.2, 2008 , pp. 111-113 More about this Journal
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.
Keywords
Occipital neuralgia; Lateral mass screw; Atlantoaxial instability;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
Times Cited By Web Of Science : 6  (Related Records In Web of Science)
연도 인용수 순위
1 Claybrooks R, Kayanja M, Milks R, Benzel E : Atlantoaxial fusion : a biomechanical analysis of two C1-C2 fusion techniques. Spine J : 682-688, 2007   PUBMED
2 Goel A, Laheri V : Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 129 : 47-53, 1994   DOI
3 Grob D, Magerl F : Surgical stabilization of C1 and C2 fractures. Orthopade 16 : 46-54, 1987   PUBMED
4 Kuroki H, Rengachary SS, Goel VK, Holekamp SA, Pitkanen V, Ebraheim NA : Biomechanical comparison of two stabilization techniques of the atlantoaxial joints : transarticular screw fixation versus screw and rod fixation. Neurosurgery 56 : 151-159, 2005
5 Lee DY, Chung CK, Jahng TA : Atlantoaxial fixation using rod and screw for bilateral high-riding vertebral artery. J Korean Neurosurg Soc 37 : 380-382, 2005   과학기술학회마을
6 Lu J, Ebraheim NA : Anatomic considerations of C2 nerve root ganglion. Spine 23 : 649-652, 1998   DOI   ScienceOn
7 Bilge O : An anatomic and morphometric study of C2 nerve root ganglion and its corresponding foramen. Spine 29 : 495-499, 2004   DOI   ScienceOn
8 Melcher RP, Puttlitz CM, Kleinstueck FS, Lotz JC, Harms J, Bradford DS : Biomechanical testing of posterior atalntoaxial fixation techniques. Spine 27 : 2435-2440, 2002   DOI   ScienceOn
9 Harms J, Melcher RP : Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 26 : 2467-2471, 2001   DOI   ScienceOn
10 Gunnarsson T, Massicotte EM, Govender PV, Raja Rampersaud Y, Fehlings MG : The use of C1 lateral mass screws in complex cervical spine surgery : indications, techniques, and outcome in a prospective consecutive series of 25 cases. J Spinal Disord Tech 20 : 308-316, 2007   DOI   ScienceOn
11 Kim YS, Lee JK, Kim JH, Kim SH : Post-traumatic atlantoaxial rotatory dislocation in an adult treated by open reduction and C1-C2 transpedicular screw fixation. J Korean Neurosurg Soc 41 : 248-251, 2007   과학기술학회마을   DOI   ScienceOn
12 Bogduk N : An anatomical basis for the neck-tongue syndrome. J Neurol Neurosurg Psychiatry 44 : 202-208, 1981   DOI
13 Brooks AL, Jenkins EB : Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am 60 : 279-284, 1978   DOI   PUBMED