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Craniocervical dissociation is a rare but serious condition, and missed injuries have been associated with poor neurologic outcomes and deterioration. A fluoroscopic traction test is employed to interrogate the craniocervical ligaments when clinical and imaging findings are equivocal. However, no specific protocol or known parameters with respect to traction or force applied have been established...
C2 laminar screws are becoming an increasingly used method of fixation. They allow for avoidance of fixation through the C2 pedicle, eliminating the risk of vertebral artery injury. Recent studies have described the anatomic considerations of this technique in a large cadaveric population. In clinical practice, however, direct measurement is impractical and preoperative imaging must be relied upon...
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