Table 2

Summary of surgical methods and outcomes in 12 patients with occipitalization of the atlas.

Case No.Surgical MethodAASOutcome
Preop.Postop.
1Occ-C3 PSF and C1 laminectomysubluxated (mobile)reducedimprovement
2Occ-C4 PSF, C1 laminectomy, and C4-6 laminoplastysubluxated (irreducible)not reducedimprovement
3Occ-C3 PSF and C1 laminectomysubluxated (irreducible)reducedimprovement
4Occ-C3 PSF, C1 laminectomy, and C4-6 laminoplastysubluxated (mobile)reducedimprovement
5Occ-C4 PSF and C1 laminectomysubluxated (irreducible)not reducedimprovement
6Occ-C7 PSF and C1 laminectomysubluxated (irreducible)not reducedimprovement
7foramen magnum decompressionimprovement
8Occ-C4 PSF and C1 laminectomysubluxated (irreducible)reducedimprovement
9Occ-C5 PSF and C1 laminectomysubluxated (irreducible)reducedimprovement
10Occ-C7 PSF and C1 laminectomysubluxated (irreducible)reducedimprovement
11Occ-T2 PSFimprovement
12Occ-T3 PSFimprovement
  • * Occ = Occiput, PSF = posterior spinal fusion