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  • Title: Transarticular screw fixation of C1-2 for the treatment of arthropathy-associated occipital neuralgia.
    Author: Pakzaban P.
    Journal: J Neurosurg Spine; 2011 Feb; 14(2):209-14. PubMed ID: 21214317.
    Abstract:
    Two patients with occipital neuralgia due to severe arthropathy of the C1-2 facet joint were treated using atlantoaxial fusion with transarticular screws without decompression of the C-2 nerve root. Both patients experienced immediate postoperative relief of occipital neuralgia. The resultant motion elimination at C1-2 eradicated not only the movement-evoked pain, but also the paroxysms of true occipital neuralgia occurring at rest. A possible pathophysiological explanation for this improvement is presented in the context of the ignition theory of neuralgic pain. This represents the first report of C1-2 transarticular screw fixation for the treatment of arthropathy-associated occipital neuralgia.
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