Are C1 screws needed in occipitocervical fusion for traumatic cervical spine injury?

In OC fusion for cervical trauma, 41% of patients did not receive C1 screws. Skipping C1 was associated with longer constructs but reduced operative time, blood loss, and infection, without affecting complication or reoperation rates, highlighting the trade-offs of skipping C1 fixation.

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Publication Details

Journal
Journal of Craniovertebral Junction and Spine
Published
2025-10-01
DOI
https://doi.org/10.4103/jcvjs.jcvjs_155_25
Primary Topic
Spinal Fractures and Fixation Techniques
Type
article
Field-Weighted Citation Impact
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article

Are C1 screws needed in occipitocervical fusion for traumatic cervical spine injury?

Iyan Younus, Ranbir Ahluwalia, Scott L. Zuckerman, Nickolas De Oliveira et al.
Journal of Craniovertebral Junction and Spine
Spinal Fractures and Fixation Techniques
article

Are C1 screws needed in occipitocervical fusion for traumatic cervical spine injury?

Iyan Younus, Ranbir Ahluwalia, Scott L. Zuckerman, Nickolas De Oliveira, Harsh B. Jain, Byron F. Stephens, Tyler Zeoli, Amir Mohamad Abtahi, Emma Ye
article en

Abstract

In OC fusion for cervical trauma, 41% of patients did not receive C1 screws. Skipping C1 was associated with longer constructs but reduced operative time, blood loss, and infection, without affecting complication or reoperation rates, highlighting the trade-offs of skipping C1 fixation.

Journal of Craniovertebral Junction and SpineVol. 16(4)
Vanderbilt University (US), Neurological Surgery (US), Vanderbilt University Medical Center (US)
Openalex Percentile: Top 46%
Spinal Fractures and Fixation Techniques
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Are C1 screws needed in occipitocervical fusion for traumatic cervical spine injury? — Iyan Younus, Ranbir Ahluwalia, et al. · Journal of Craniovertebral Junction and Spine (2025) | TGRS Research Map | TGRS