Posterior Occipitocervical Fusion for Unstable Upper Cervical Trauma in Old and Elderly Population, Although Decreases Upper Cervical Rotation, Does Not Significantly Increase Neck Disability Index

<div>(a) Lateral roentgenogram of a 61-year-old man with C2 Levine IIb traumatic spondylolisthesis with &gt;5 mm diastasis (lower arrow) and comminuted Jefferson fracture (upper arrow). The degeneration in the upper most cervical spine is evident. (b) Postoperative lateral roentgenogram following surgery showing reduction of the injury and POCF. There is an improved lordotic C0-C2 angle compared to the preoperative angle in (a). (c) Follow-up observation 36 months postoperatively showing a complete spinal fusion and a lordotic C0-C2 angle.</div>

Advances in Orthopedics

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Figure 3: Posterior Occipitocervical Fusion for Unstable Upper Cervical Trauma in Old and Elderly Population, Although Decreases Upper Cervical Rotation, Does Not Significantly Increase Neck Disability Index 

Figure 3 | Posterior Occipitocervical Fusion for Unstable Upper Cervical Trauma in Old and Elderly Population, Although Decreases Upper Cervical Rotation, Does Not Significantly Increase Neck Disability Index 