ABSTRACT
The craniocervical junction can be affected by a wide array of disease processes.
Surgical options to treat craniocervical instability are similarly diverse. Several
constructs have been developed over the years, ranging from simple onlay bone grafts
to more complex constructs using a variety of rods, plates, and screws. This article
reviews the several different constructs currently available for occipitocervical
fusion. The advantages and disadvantages of each type of construct are discussed.
The type of construct used will depend on the specific disease process and the experience
and preferences of the surgeon.
KEYWORDS
Craniocervical instability - occipitocervical fusion - spine surgery