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KMID : 1001920080430020111
Journal of Korean Neurosurgical Society
2008 Volume.43 No. 2 p.111 ~ p.113
Troublesome Occipital Neuralgia Developed by C1-C2 Harms Construct
Rhee Woo-Tack

You Seung-Hoon
Kim Suk-Kyoung
Lee Sang-Youl
Abstract
Recently, Harms and Melcher modified Goel¡¯s approach, the C1 lateral mass and C2 pedicle screw fixation, and the new technique is currently in favor among neurosurgeons. Comparing to the advantages of Harms construct, the disadvantages were not extensively investigated. We experienced a patient with severe occipital pain developed after the C1 lateral mass screw placement for the traumatic atlantoaxial instability. We reviewed literatures about Harms construct with focus on the occipital neuralgia as a postoperative complication and suggest here technical tips to avoid the troublesome pain.
KEYWORD
Occipital neuralgia, Lateral mass screw, Atlantoaxial instability
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