{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:47:33Z","timestamp":1785444453481,"version":"3.56.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:p>In cadaveric studies and recently in one adult patient the occipital condyle has been studied as an option to allow bone purchase by fixation devices. In the current case the authors describe the use of occipital condyle screws in a child undergoing occipitocervical fixation. To the best of the authors' knowledge this case is the first reported instance of this technique in a pediatric patient.<\/jats:p>\n<jats:p>This girl had a history of posterior fossa decompression for Chiari malformation Type I when she was 22 months of age. When she was 6 years old she presented with neck pain on flexion and extension of her head. Magnetic resonance imaging in flexion and extension revealed occipitocervical instability. She underwent an occiput to C-2 posterior arthrodesis with bilateral screw placement in the occipital condyles, C-2 lamina, and C-1 lateral masses. Postoperatively, she was neurologically intact. Computed tomography demonstrated a stable construct, and her cervical pain had resolved on follow-up.<\/jats:p>","DOI":"10.3171\/2010.4.peds09551","type":"journal-article","created":{"date-parts":[[2010,7,30]],"date-time":"2010-07-30T13:36:31Z","timestamp":1280496991000},"page":"171-176","source":"Crossref","is-referenced-by-count":34,"title":["Placement of occipital condyle screws for occipitocervical fixation in a pediatric patient with occipitocervical instability after decompression for Chiari malformation"],"prefix":"10.3171","volume":"6","author":[{"given":"Kimon","family":"Bekelis","sequence":"first","affiliation":[{"name":"Section of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Christine","family":"Duhaime","sequence":"additional","affiliation":[{"name":"Section of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Symeon","family":"Missios","sequence":"additional","affiliation":[{"name":"Section of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clifford","family":"Belden","sequence":"additional","affiliation":[{"name":"Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Simmons","sequence":"additional","affiliation":[{"name":"Section of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0060171","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1425","DOI":"10.1097\/00007632-199907150-00007","article-title":"Posterior occipitocervical reconstruction using cervical pedicle screws and plate-rod systems","volume":"24","author":"Abumi","year":"1999"},{"key":"b2-0060171","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1630","DOI":"10.1097\/00007632-199607150-00004","article-title":"Threaded steinmann pin fusion of the craniovertebral junction","volume":"21","author":"Apostolides","year":"1996"},{"key":"b3-0060171","series-title":"Okajimas Folia Anat Jpn","doi-asserted-by":"publisher","first-page":"329","DOI":"10.2535\/ofaj1936.75.6_329","article-title":"Surgical anatomy and morphometric analysis of the occipital condyles and foramen magnum","volume":"75","author":"Bozbu\u011fa","year":"1999"},{"key":"b4-0060171","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E54","DOI":"10.1097\/01.BRS.0000042237.97483.7B","article-title":"Anterior occiput-to-axis screw fixation: part I: a case report, description of a new technique, and anatomical feasibility analysis","volume":"28","author":"Dvorak","year":"2003"},{"key":"b5-0060171","series-title":"Spine","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1097\/01.BRS.0000042229.38716.8D","article-title":"Anterior occiput to axis screw fixation: part II: a biomechanical comparison with posterior fixation techniques","volume":"28","author":"Dvorak","year":"2003"},{"key":"b6-0060171","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1725","DOI":"10.1097\/00007632-199608010-00002","article-title":"An anatomic study of the thickness of the occipital bone. 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