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Spine | Occipitocervical Instability

The Orthobullets Podcast

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How to Perform Occipidoservical Fusion

Non-operative management includes provisional stabilization while avoiding traction. Techniques include halo-vest, tongs and keep in mind that prolonged cervical orthosis is not recommended due to poor stabilization of the atlantal occipital joint. Traction may be considered in stage two injuries when MRI demonstrates soft tissue injury with preserved alignment.

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