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Journal of Korean Neurosurgical Society > Volume 43(2); 2008 > Article
Journal of Korean Neurosurgical Society 2008;43(2): 111-113.
doi: https://doi.org/10.3340/jkns.2008.43.2.111
Troublesome Occipital Neuralgia Developed by C1-C2 Harms Construct.
Woo Tack Rhee, Seung Hoon You, Suk Kyoung Kim, Sang Youl Lee
Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea. seasons@gnah.co.kr
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.
Key Words: Occipital neuralgia; Lateral mass screw; Atlantoaxial instability
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