{"id":"https://openalex.org/W2417626332","doi":"https://doi.org/10.3171/2016.2.peds15544","title":"Pediatric occipitocervical fixation: radiographic criteria, surgical technique, and clinical outcomes based on experience of a single surgeon","display_name":"Pediatric occipitocervical fixation: radiographic criteria, surgical technique, and clinical outcomes based on experience of a single surgeon","publication_year":2016,"publication_date":"2016-06-10","ids":{"openalex":"https://openalex.org/W2417626332","doi":"https://doi.org/10.3171/2016.2.peds15544","mag":"2417626332","pmid":"https://pubmed.ncbi.nlm.nih.gov/27286444"},"language":"en","primary_location":{"id":"doi:10.3171/2016.2.peds15544","doi":"https://doi.org/10.3171/2016.2.peds15544","is_oa":true,"landing_page_url":"https://doi.org/10.3171/2016.2.peds15544","pdf_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-pediatr/18/4/article-p452.pdf","source":{"id":"https://openalex.org/S4210222112","display_name":"Journal of Neurosurgery Pediatrics","issn_l":"1933-0707","issn":["1933-0707","1933-0715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery: Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-pediatr/18/4/article-p452.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077281476","display_name":"Eduardo Martinez-del-Campo","orcid":"https://orcid.org/0000-0001-9688-2033","observed_orcids":["https://orcid.org/0000-0001-9688-2033"]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]},{"id":"https://openalex.org/I1325481341","display_name":"St. Joseph's Hospital and Medical Center","ror":"https://ror.org/00m72wv30","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eduardo Martinez-del-Campo","raw_affiliation_strings":["Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona","institution_ids":["https://openalex.org/I1324766304","https://openalex.org/I1325481341"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089944759","display_name":"Jay D. Turner","orcid":"https://orcid.org/0000-0001-6867-3568","observed_orcids":["https://orcid.org/0000-0001-6867-3568"]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]},{"id":"https://openalex.org/I1325481341","display_name":"St. Joseph's Hospital and Medical Center","ror":"https://ror.org/00m72wv30","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jay D. Turner","raw_affiliation_strings":["Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona","institution_ids":["https://openalex.org/I1324766304","https://openalex.org/I1325481341"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024192542","display_name":"Leonardo Rangel-Castilla","orcid":"https://orcid.org/0000-0002-7915-6205","observed_orcids":["https://orcid.org/0000-0002-7915-6205","https://orcid.org/0000-0003-4882-0107"]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]},{"id":"https://openalex.org/I1325481341","display_name":"St. Joseph's Hospital and Medical Center","ror":"https://ror.org/00m72wv30","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leonardo Rangel-Castilla","raw_affiliation_strings":["Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona","institution_ids":["https://openalex.org/I1324766304","https://openalex.org/I1325481341"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075883623","display_name":"Hector Soriano-Baron","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]},{"id":"https://openalex.org/I1325481341","display_name":"St. Joseph's Hospital and Medical Center","ror":"https://ror.org/00m72wv30","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hector Soriano-Baron","raw_affiliation_strings":["Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona","institution_ids":["https://openalex.org/I1324766304","https://openalex.org/I1325481341"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064544069","display_name":"Samuel Kalb","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]},{"id":"https://openalex.org/I1325481341","display_name":"St. Joseph's Hospital and Medical Center","ror":"https://ror.org/00m72wv30","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samuel Kalb","raw_affiliation_strings":["Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona","institution_ids":["https://openalex.org/I1324766304","https://openalex.org/I1325481341"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054749088","display_name":"Nicholas Theodore","orcid":"https://orcid.org/0000-0001-5355-2683","observed_orcids":["https://orcid.org/0000-0001-5355-2683"]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]},{"id":"https://openalex.org/I1325481341","display_name":"St. Joseph's Hospital and Medical Center","ror":"https://ror.org/00m72wv30","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicholas Theodore","raw_affiliation_strings":["Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona","institution_ids":["https://openalex.org/I1324766304","https://openalex.org/I1325481341"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.2932,"has_fulltext":true,"cited_by_count":23,"citation_normalized_percentile":{"value":0.8708137,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":98},"biblio":{"volume":"18","issue":"4","first_page":"452","last_page":"462"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.6776999831199646,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.6776999831199646,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.22609999775886536,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.062300000339746475,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/occipitocervical-instability","display_name":"occipitocervical instability","score":0.9139999747276306},{"id":"https://openalex.org/keywords/myelopathy","display_name":"myelopathy","score":0.5989999771118164},{"id":"https://openalex.org/keywords/bone-grafting","display_name":"bone grafting","score":0.41499999165534973},{"id":"https://openalex.org/keywords/arthrodesis","display_name":"arthrodesis","score":0.7239999771118164},{"id":"https://openalex.org/keywords/vertebral-artery-injury","display_name":"vertebral artery injury","score":0.777999997138977},{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.5730000138282776}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9801840782165527},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.7072671055793762},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.5186354517936707},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.49604734778404236},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001269","descriptor_name":"Atlanto-Occipital Joint","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001269","descriptor_name":"Atlanto-Occipital Joint","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001863","descriptor_name":"Bone Screws","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002574","descriptor_name":"Cervical Vertebrae","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D002574","descriptor_name":"Cervical Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004204","descriptor_name":"Joint Dislocations","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D004204","descriptor_name":"Joint Dislocations","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004204","descriptor_name":"Joint Dislocations","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D004204","descriptor_name":"Joint Dislocations","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005592","descriptor_name":"Fracture Fixation","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D005592","descriptor_name":"Fracture Fixation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007593","descriptor_name":"Joint Instability","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D007593","descriptor_name":"Joint Instability","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D007593","descriptor_name":"Joint Instability","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009777","descriptor_name":"Occipital Bone","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D009777","descriptor_name":"Occipital Bone","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016025","descriptor_name":"Bone Transplantation","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D016025","descriptor_name":"Bone Transplantation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019299","descriptor_name":"Decompression, Surgical","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D019299","descriptor_name":"Decompression, Surgical","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3171/2016.2.peds15544","doi":"https://doi.org/10.3171/2016.2.peds15544","is_oa":true,"landing_page_url":"https://doi.org/10.3171/2016.2.peds15544","pdf_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-pediatr/18/4/article-p452.pdf","source":{"id":"https://openalex.org/S4210222112","display_name":"Journal of Neurosurgery Pediatrics","issn_l":"1933-0707","issn":["1933-0707","1933-0715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery: Pediatrics","raw_type":"journal-article"},{"id":"pmid:27286444","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27286444","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of neurosurgery. Pediatrics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.3171/2016.2.peds15544","doi":"https://doi.org/10.3171/2016.2.peds15544","is_oa":true,"landing_page_url":"https://doi.org/10.3171/2016.2.peds15544","pdf_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-pediatr/18/4/article-p452.pdf","source":{"id":"https://openalex.org/S4210222112","display_name":"Journal of Neurosurgery Pediatrics","issn_l":"1933-0707","issn":["1933-0707","1933-0715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery: Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2417626332.pdf","grobid_xml":"https://content.openalex.org/works/W2417626332.grobid-xml"},"referenced_works_count":59,"referenced_works":["https://openalex.org/W22729600","https://openalex.org/W148916800","https://openalex.org/W194887892","https://openalex.org/W197087040","https://openalex.org/W219719283","https://openalex.org/W1485529131","https://openalex.org/W1506464091","https://openalex.org/W1507352628","https://openalex.org/W1515665252","https://openalex.org/W1535629281","https://openalex.org/W1538798235","https://openalex.org/W1555446290","https://openalex.org/W1582266676","https://openalex.org/W1587539470","https://openalex.org/W1850095681","https://openalex.org/W1965894363","https://openalex.org/W1975251051","https://openalex.org/W1983449604","https://openalex.org/W1984916689","https://openalex.org/W1989024900","https://openalex.org/W1991696613","https://openalex.org/W1997114530","https://openalex.org/W1997549757","https://openalex.org/W1998954970","https://openalex.org/W1999237231","https://openalex.org/W1999811753","https://openalex.org/W2001754041","https://openalex.org/W2002098649","https://openalex.org/W2009824551","https://openalex.org/W2015762089","https://openalex.org/W2022496034","https://openalex.org/W2023589947","https://openalex.org/W2024748552","https://openalex.org/W2042227668","https://openalex.org/W2045477441","https://openalex.org/W2048152030","https://openalex.org/W2063032905","https://openalex.org/W2066863675","https://openalex.org/W2074795529","https://openalex.org/W2078605576","https://openalex.org/W2084432021","https://openalex.org/W2087730311","https://openalex.org/W2089513923","https://openalex.org/W2113301042","https://openalex.org/W2134464572","https://openalex.org/W2134846081","https://openalex.org/W2137073876","https://openalex.org/W2138604759","https://openalex.org/W2139848587","https://openalex.org/W2159594245","https://openalex.org/W2164844183","https://openalex.org/W2167508009","https://openalex.org/W2172089160","https://openalex.org/W2261416126","https://openalex.org/W2330758270","https://openalex.org/W4240382493","https://openalex.org/W4250689734","https://openalex.org/W4252527756","https://openalex.org/W6672514962"],"related_works":["https://openalex.org/W2490394756","https://openalex.org/W4412671550","https://openalex.org/W1998324157","https://openalex.org/W4220813726","https://openalex.org/W2071912616","https://openalex.org/W1997114530","https://openalex.org/W2051053471","https://openalex.org/W1507352628","https://openalex.org/W2386228022","https://openalex.org/W4417533429"],"abstract_inverted_index":{"OBJECTIVE":[0],"If":[1],"left":[2],"untreated,":[3],"occipitocervical":[4],"(OC)":[5],"instability":[6],"may":[7],"lead":[8],"to":[9,21],"serious":[10],"neurological":[11,170,208],"injury":[12],"or":[13],"death.":[14],"Open":[15],"internal":[16,69],"fixation":[17,44,71,241],"is":[18,242],"often":[19],"necessary":[20],"protect":[22],"the":[23,29,36,74,126,257,261,265],"neurovascular":[24],"elements.":[25],"This":[26],"study":[27,104],"reviews":[28],"etiologies":[30,135],"for":[31,39,85,149],"pediatric":[32],"OC":[33,70,90],"instability,":[34,131],"analyzes":[35],"radiographic":[37,258],"criteria":[38],"surgical":[40,43,96],"intervention,":[41],"discusses":[42],"techniques,":[45],"and":[46,98,110,182,199,214,246,253],"evaluates":[47],"long-term":[48],"postoperative":[49],"outcomes":[50,99],"based":[51],"on":[52],"a":[53,114,144],"single":[54],"surgeon's":[55],"experience.":[56],"METHODS":[57],"The":[58,103,140,152,226],"charts":[59],"of":[60,107,117,130,147,155,177,186,194,235,268],"all":[61,167],"patients":[62,82,178,187,195,219],"<":[63],"18":[64],"years":[65],"old":[66],"who":[67],"underwent":[68],"conducted":[72],"by":[73,133],"senior":[75],"author":[76],"were":[77,83,164,196],"retrospectively":[78],"reviewed.":[79],"Forty":[80],"consecutive":[81],"identified":[84],"analysis.":[86],"Patient":[87],"demographic":[88],"data,":[89],"junction":[91],"pathology,":[92],"radiological":[93],"diagnostic":[94,145],"tools,":[95],"indications,":[97],"are":[100],"reported.":[101],"RESULTS":[102],"population":[105],"consisted":[106],"20":[108,111],"boys":[109],"girls,":[112],"with":[113,179,188,250],"mean":[115],"age":[116],"7.3":[118],"years.":[119],"Trauma":[120],"(45%":[121],"[n":[122,137],"=":[123,138],"18])":[124],"was":[125,158,172,229,264],"most":[127,266],"common":[128],"cause":[129],"followed":[132],"congenital":[134],"(37.5%":[136],"15]).":[139],"condyle-C1":[141,262],"interval":[142,263],"had":[143,207,220],"sensitivity":[146],"100%":[148],"atlantooccipital":[150,269],"dislocation.":[151,270],"median":[153],"number":[154],"fixated":[156],"segments":[157],"5":[159],"(occiput-C4).":[160],"Structural":[161],"bone":[162],"grafts":[163],"used":[165],"in":[166,174,183,244],"patients.":[168],"Postsurgical":[169],"improvement":[171],"seen":[173],"88.2%":[175],"(15/17)":[176],"chronic":[180],"myelopathy":[181],"25%":[184],"(1/4)":[185],"acute":[189],"myelopathy.":[190],"Preoperatively,":[191],"42.5%":[192,205],"(17/40)":[193,206],"neurologically":[197],"intact":[198],"remained":[200,212],"unchanged":[201],"at":[202,223],"last":[203],"follow-up,":[204],"improvement,":[209],"12.5%":[210],"(5/40)":[211],"unchanged,":[213],"2.5%":[215],"(1/40)":[216],"deteriorated.":[217],"All":[218],"successful":[221],"fusion":[222],"1-year":[224],"follow-up.":[225],"complication":[227],"rate":[228],"7.5%":[230],"(3/40),":[231],"including":[232],"1":[233],"case":[234],"vertebral":[236],"artery":[237],"injury.":[238],"CONCLUSIONS":[239],"Occipitocervical":[240],"safe":[243],"children":[245],"provides":[247],"immediate":[248],"immobilization,":[249],"excellent":[251],"survival":[252],"arthrodesis":[254],"rates.":[255],"Of":[256],"tools":[259],"evaluated,":[260],"predictive":[267]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":5},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}