J Korean Neurosurg Soc.  2008 Feb;43(2):111-113. 10.3340/jkns.2008.43.2.111.

Troublesome Occipital Neuralgia Developed by C1-C2 Harms Construct

• Rhee WT
• You SH
• Kim SK
• Lee SY

• KMID: 2018332
• DOI: http://doi.org/10.3340/jkns.2008.43.2.111

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.

Keyword

Occipital neuralgia; Lateral mass screw; Atlantoaxial instability

MeSH Terms

Humans
Neuralgia
Postoperative Complications