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                <title level="j">Clinical Biomechanics</title>
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                <term xml:lang="en">3D measurements</term>
                <term xml:lang="en">Mark tracking</term>
                <term xml:lang="en">Occipito-cervical fusion</term>
                <term xml:lang="en">Occipital bone</term>
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              <p>BackgroundOccipito-cervical fusion can be necessary in case of cranio-cervical junction instability. Proximal stabilisation is usually ensured by bi-cortical occipital screws implanted through one median or two lateral occipital plate(s). Bone thickness variability as well as the proximity of vasculo-nervous elements can induce substantial morbidity. The choice of site and implant type remains difficult for surgeons and is often empirically based. Given this challenge, implants with smaller pitch to increase bone interfacing are being developed, as is a surgical technique consisting in inverted occipital hook clamps, a potential alternative to plate/screws association. We present here a biomechanical comparison of the different occipito-cervical fusion devices.</p>
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