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Peer-Reviewed Publication
Spine J2025;25(2):369-379.February 1, 2025Journal Article

Multirod posterior occipitocervical instrumentation constructs: a biomechanical analysis and initial case series of 10 patients with complex craniocervical pathology.

Andrew P Collins1, Muzammil Mumtaz2, Sudharshan Tripathi2, Shruthi K Varier2, Alexander W Turner3, Aaron J Clark4, Vijay K Goel2, Alekos A Theologis5
1Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.
2Departments of Bioengineering and Orthopaedic Surgery, Engineering Center for Orthopedic Research Excellence (E-CORE), University of Toledo, Toledo, OH, USA.
3Alphatec Spine Inc., Carlsbad, CA, USA.
4Department of Orthopaedic Neurological Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA.
5Department of Orthopaedic Surgery, UCSF, San Francisco, CA, USA. Electronic address: alekos.theologis@ucsf.edu.

Abstract

BACKGROUND CONTEXT: Stabilization of the occipitocervical (OC) junction with posterior instrumentation plays a vital role in addressing a spectrum of pathologies. Due to limited bone surfaces of the occiput and C1 lamina, achieving union across the OC junction is challenging. PURPOSE: To explore the biomechanics and a clinical series of patients treated with multirod constructs across the OC junc…

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