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Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study

BACKGROUND: Occipitocervical disease is common in the elderly population, and is on the rise due to an increasingly aging population. METHODS: We retrospectively reviewed all patients who underwent occipitocervical fusion in our institution over a 20 year period (1996-2016) at a tertiary spinal refe...

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Autores principales: Tarazi, Nadim, Munigangaiah, Sudarshan, Devitt, Aiden T, Mccabe, John P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763589/
https://www.ncbi.nlm.nih.gov/pubmed/29403244
http://dx.doi.org/10.4103/jcvjs.JCVJS_98_17
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author Tarazi, Nadim
Munigangaiah, Sudarshan
Devitt, Aiden T
Mccabe, John P
author_facet Tarazi, Nadim
Munigangaiah, Sudarshan
Devitt, Aiden T
Mccabe, John P
author_sort Tarazi, Nadim
collection PubMed
description BACKGROUND: Occipitocervical disease is common in the elderly population, and is on the rise due to an increasingly aging population. METHODS: We retrospectively reviewed all patients who underwent occipitocervical fusion in our institution over a 20 year period (1996-2016) at a tertiary spinal referral centre. Patients were divided in 2 groups. Group A included all patient who underwent OCF in the first decade between 1996 and 2005. Group B was all patients who underwent OCF in the second decade between 2006 and 2016. RESULTS: A total of 23 patients underwent occipitocervical fusion between 1996 until 2016 at our institution. Instability secondary to Rheumatoid arthritis was the leading factor in group A, responsible for 43 percent of cases. In group B, trauma was the leading burden accounting for 44 percent of the cases. In contrast to Group A however, only 19 % of OCFs occurred secondary to RA in group B. Our fusion rate was 96 percent with a survival rate of 67 percent. CONCLUSION: We noticed a clear epidemiological drift in the cervical spine pathologies requiring OCF during the first and second decade of study period with an increase in prevalence of pathological fractures secondary to metastatic disease. In addition, a drop in rheumatoid cervical disease requiring OCF has been noted.
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spelling pubmed-57635892018-02-05 Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study Tarazi, Nadim Munigangaiah, Sudarshan Devitt, Aiden T Mccabe, John P J Craniovertebr Junction Spine Original Article BACKGROUND: Occipitocervical disease is common in the elderly population, and is on the rise due to an increasingly aging population. METHODS: We retrospectively reviewed all patients who underwent occipitocervical fusion in our institution over a 20 year period (1996-2016) at a tertiary spinal referral centre. Patients were divided in 2 groups. Group A included all patient who underwent OCF in the first decade between 1996 and 2005. Group B was all patients who underwent OCF in the second decade between 2006 and 2016. RESULTS: A total of 23 patients underwent occipitocervical fusion between 1996 until 2016 at our institution. Instability secondary to Rheumatoid arthritis was the leading factor in group A, responsible for 43 percent of cases. In group B, trauma was the leading burden accounting for 44 percent of the cases. In contrast to Group A however, only 19 % of OCFs occurred secondary to RA in group B. Our fusion rate was 96 percent with a survival rate of 67 percent. CONCLUSION: We noticed a clear epidemiological drift in the cervical spine pathologies requiring OCF during the first and second decade of study period with an increase in prevalence of pathological fractures secondary to metastatic disease. In addition, a drop in rheumatoid cervical disease requiring OCF has been noted. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5763589/ /pubmed/29403244 http://dx.doi.org/10.4103/jcvjs.JCVJS_98_17 Text en Copyright: © 2017 Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Tarazi, Nadim
Munigangaiah, Sudarshan
Devitt, Aiden T
Mccabe, John P
Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study
title Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study
title_full Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study
title_fullStr Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study
title_full_unstemmed Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study
title_short Occipitocervical fusion – An epidemiological drift experienced in an Irish tertiary spinal referral center: Twenty-year follow-up study
title_sort occipitocervical fusion – an epidemiological drift experienced in an irish tertiary spinal referral center: twenty-year follow-up study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763589/
https://www.ncbi.nlm.nih.gov/pubmed/29403244
http://dx.doi.org/10.4103/jcvjs.JCVJS_98_17
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