In Reply: Occipitocervical fixation: A single surgeon's experience with 120 patients

摘要

Copyright © 2017 by the Congress of Neurological SurgeonsTo the Editor:I would like to thank Professor Goel for his insightful comments1 regarding our manuscript.2 Phoenix is indeed a much different place than Mumbai! With posted speed limits as high as 75 mph (120.7 km/h) on interstate highways, we have seen a significant number of horrific high-speed motor vehicle accidents and cared for many survivors.3...In this present series, 56 patients had indeed suffered from occipitoatlantal dislocation and instability. This was confirmed at surgery in each and every case. Although I certainly agree with Dr Goel that the atlantoaxial joint is the center of mobility and that the occipitoatlantal joint is the center of stability, other anatomical considerations come into play. My colleague Neil Crawford nicely demonstrated the role of the apical ligament in the cadaveric spine in a series of 10 cadaveric specimens. In the...