Occipitocervical fusion – An epidemiological drift skilled in an Irish tertiary spinal referral middle: Twenty-year follow-up examine.
J Craniovertebr Junction Backbone. 2017 Oct-Dec;eight(four):328-331
Authors: Tarazi N, Munigangaiah S, Devitt AT, Mccabe JP
Summary
Background: Occipitocervical illness is frequent within the aged inhabitants, and is on the rise because of an more and more getting older 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, liable for 43 % of circumstances. In group B, trauma was the main burden accounting for 44 % of the circumstances. In distinction to Group A nonetheless, solely 19 % of OCFs occurred secondary to RA in group B. Our fusion charge was 96 % with a survival charge of 67 %.
Conclusion: We observed a transparent epidemiological drift within the cervical backbone pathologies requiring OCF through the first and second decade of examine 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]