alexa Utility of the Inside-Out Technique for Pediatric Occipital Cervical Fusion and Correction of the Clivoaxial Angle: A Case Illustration
ISSN: 2165-7939

Journal of Spine
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Utility of the Inside-Out Technique for Pediatric Occipital Cervical Fusion and Correction of the Clivoaxial Angle: A Case Illustration

Faheem A. Sandhu* and Daniel R. Felbaum
Department of Neurosurgery, Medstar Georgetown University Hospital, Washington DC, USA
Corresponding Author : Faheem Sandhu
Department of Neurosurgery
Medstar Georgetown University Hospital 3800 Reservoir Road
NW 7th Floor PHC Washington
DC 20007, USA
Tel: 202-444-7315
Fax: 202-444-7344
E-mail: [email protected]
Received December 29, 2015; Accepted January 19, 2016; Published January 21, 2016
Citation: Sandhu FA, Felbaum DR (2016) Utility of the Inside-Out Technique for Pediatric Occipital Cervical Fusion and Correction of the Clivoaxial Angle: A Case Illustration. J Spine 5:278.doi:10.4172/2165-7939.1000278
Copyright: © 2016 Sandhu FA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


A variety of techniques exist for tackling stabilization of the craniocervical junction. Historically, craniocervical instability was treated with a simple bone autograft onlay technique and a halo-vest to immobilize the neck and skull. Because of fusion failures and patient morbidity associated with use of a halo-vest, surgical techniques have moved toward provision of immediate internal stabilization [3]. Currently, modern internal fixation techniques exist that provide an array of occipital plate constructs to achieve proper fusion through rigid stabilization of the craniocervical junction.


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