Occipitocervical fusion – An epidemiological drift skilled in an Irish tertiary spinal referral heart: Twenty-year follow-up research.
J Craniovertebr Junction Backbone. 2017 Oct-Dec;eight(four):328-331
Authors: Tarazi N, Munigangaiah S, Devitt AT, Mccabe JP
Background: Occipitocervical illness is frequent within the aged inhabitants, and is on the rise on account of an more and more getting old inhabitants.
Strategies: We retrospectively reviewed all sufferers who underwent occipitocervical fusion in our establishment over a 20 12 months interval (1996-2016) at a tertiary spinal referral centre. Sufferers have been divided in 2 teams. Group A included all affected person who underwent OCF within the first decade between 1996 and 2005. Group B was all sufferers who underwent OCF within the second decade between 2006 and 2016.
Outcomes: A complete of 23 sufferers underwent occipitocervical fusion between 1996 till 2016 at our establishment. Instability secondary to Rheumatoid arthritis was the main consider group A, answerable for 43 p.c of circumstances. In group B, trauma was the main burden accounting for 44 p.c of the circumstances. In distinction to Group A nevertheless, solely 19 % of OCFs occurred secondary to RA in group B. Our fusion price was 96 p.c with a survival price of 67 p.c.
Conclusion: We observed a transparent epidemiological drift within the cervical backbone pathologies requiring OCF through the first and second decade of research interval with a rise in prevalence of pathological fractures secondary to metastatic illness. As well as, a drop in rheumatoid cervical illness requiring OCF has been famous.
PMID: 29403244 [PubMed]