@entity1353 and XXXX from @entity1224 after occipitocervical fusion in the pediatric age group.

@entity1 @entity1353 @entity4239 @entity1282 @entity309 @entity1224
@entity1224 resulting from overflexion of the craniocervical junction after occipitocervical fusion is a rare but potentially life-threatening complication and is associated with morbidity. The authors retrospectively reviewed the medical records and diagnostic images of 2 pediatrie @entity1 who underwent occipitocervical fusion by the Neuro-Spine Program at Texas @entity1 's Hospital and experienced @entity1353 and/or @entity1282 from new @entity1224 in the postoperative period. @entity1 demographics, operative data, and preoperative and postoperative occiput-C2 angles were recorded. A review of the literature for similar complications after occipitocervical fusion was performed. A total of 13 cases of prolonged @entity1224 after occipitocervical fusion were analyzed. Most of these cases involved adults with @entity309 . To the best of the authors' knowledge, there have been no previous reports of prolonged @entity1224 in @entity1 after an occipitocervical fusion. Fixation of the neck in increased flexion (-18   to -5  ) was a common finding among these adult and pediatrie cases. The authors' cases involved @entity1 with @entity4239 and comparatively large tongues, which may predispose the oropharynx to obstruction with even the slightest amount of increased flexion. Close attention to a satisfactory fixation angle (occiput-C2 angle) is necessary to avoid @entity1224 after an occipitocervical fusion. @entity1 with @entity4239 are particularly sensitive to changes in flexion at the craniocervical junction after occipitocervical fixation.
