Contoured Loop and Modifi ed Wiring Technique for occipitocervical Fixation - A Safe and Effi cacious Option
Journal Title: Nepal Journal of Neuroscience - Year 2018, Vol 15, Issue 2
Abstract
To study the safety and effi cacy of contoured loop and modifi ed wiring techniques for occipitocervical fi xation. Retrospective study among 15 patients who underwent occipitocervical fi xation from Jan 2011-16 were reviewed. Contoured loop was wired at 2 points in occiput and 4 different points, 2 on either side to percutaneously passed K wire through the spino laminar junctions of C2 and C3. Additional fusion with onlay autologous graft from either iliac crest or ribs was done. Various parameters studied were patient’s demography, causes of instability, change in neurological function, complications and radiographic outcome.Six had basilar invagination, 4 had traumatic atlantoaxial subluxation, 4 had osodontoidium and 1 had Rheumatoid arthropathy. There was improvement in Frankel grade from C to D in 6 and from D to E in 5 patients. Radiological union at 6 months was observed in all 15 cases. Two patients had surgical site infection. Dislodgement of K wire was found in 4 cases (26.66%) by which time radiological union had already taken place. The approximate cost of instrumentation was 100 dollars for each patient. Conclusions. Contoured rod and modifi ed wiring occipitocervical fi xation technique are relatively a safe, cheap and technically easy alternative for the management of occipitocervical instability.
Authors and Affiliations
Shikher Shrestha, FCPS
Keywords
Related Articles
- EP ID EP381870
- DOI -
- Views 84
- Downloads 0
Pattern of Adverse Drug Reactions to Conventional Anti-epileptic Drugs Monotherapy in Nepalese Children
Adverse drug reactions (ADRs) are common with anti-epileptie drug (AED) therapy. Knowledge about ADRs helps the clinician in planning the treatment course and facilitates early detection of ADRs and intervention. Present...
Transient Cortical Blindness after Digital Subtraction Angiography of Cerebral Vessels
Transient blindness following cerebral angiography is a rare but known entity. We report a case of transient cortical blindness after cerebral angiography. The patient presented with ischemic stroke and the angiography w...
Predictors of Unfavorable Outcome in Meningitis Patients
The main objective is to study the predictors of unfavorable outcome in meningitis patients. This is a prospective analytic study of 100 patients with different types of meningitis admitted in Tribhuvan University teachi...
Pineal Region Ependymona: A case report
Case rerport
Laughter - A Manifestation of Seizure: A Case Report and Review
A case with the rare manifestation of laughter as a clinical feature of seizure in a 13-year-old boy is reported. One year before presentation, he first had a sudden loss of consciousness. He slumped and fell down, with...