%0 Journal Article
%T Double Anchoring Technique of Occipito-Cervical Fixation Using Innovative Occipital Plate: A Preliminary Study.
%A Singh DK
%A Pathak VV
%A Singh N
%A Kaif M
%A Yadav K
%A Kumar R
%J Neurol India
%V 70
%N 0
%D Sep-Oct 2022
%M 36412358
%F 1.663
%R 10.4103/0028-3886.360909
%X <B>UNASSIGNED: </B>Occipito-cervical fixation (OCF) provides immediate rigid fixation to cranio-vertebral junction (CVJ); however, in current practice, the optimal occipito-cervical fixation method is arguable.<BR><B>UNASSIGNED: </B>The aim of this study was to test the safety and efficacy of a newly designed inside-outside occipital (OC) plate system for the treatment of cranio-vertebral junction instability.<BR><B>UNASSIGNED: </B>Thirty-two patients of CVJ instability were treated using this new OC plate system. Safety and efficacy of this new OC plate was evaluated radiologically and clinically.<BR><B>UNASSIGNED: </B>Follow-up period ranged from 9 to 23 months. During the follow-up, no implant failure, recurrent subluxation, or newly developed instability at adjacent levels occurred, except in one patient in whom C2 screw pullout occurred due to trauma. All patients showed a satisfactory fusion at three months follow-up examination.<BR><B>UNASSIGNED: </B>These preliminary results suggest that this OC plate system is a simple, safe, and effective method for providing immediate internal rigid fixation of the CV junction. Long-term results are needed to determine the superiority of this OC plate over other methods of occipital fixation.