biostudies-literatureUnknown84(1)Holy M<b>Study Design</b>  Case series with surgical technical note. <b>Objectives</b>  This article reports experiences and results of muscle-preserving temporary C0-C2 fixation for the treatment of atlanto-occipital dislocation (AOD). <b>Methods</b>  AOD is a rare injury caused by high-energy trauma, occurring in less than 1% of pediatric trauma patients. Recommended treatment is C0-C2 fusion which, however, will result in significant loss of mobility in the craniocervical junction (CCJ), especially C1-C2 rotation. An alternative approach, with the ability of preserving mobility in the C1-C2 segment, is a temporary fixation that allows the ligaments to heal, after which the implants can be removed to regain function in the CCJ joints. By using a muscle-preserving approach and navigation for thJournal of neurological surgery reportse11-e16https://www.ebi.ac.uk/biostudies/studies/S-EPMC9873479biostudies-literatureA Novel Treatment of Pediatric Atlanto-Occipital Dislocation with Nonfusion Using Muscle-Preserving Temporary Internal Fixation of C0-C2: Case Series and Technical Note.PMC9873479Joelson ASzigethy LOlerud CHoly MfalseA Novel Treatment of Pediatric Atlanto-Occipital Dislocation with Nonfusion Using Muscle-Preserving Temporary Internal Fixation of C0-C2: Case Series and Technical Note.<b>Study Design</b>  Case series with surgical technical note. <b>Objectives</b>  This article reports experiences and results of muscle-preserving temporary C0-C2 fixation for the treatment of atlanto-occipital dislocation (AOD). <b>Methods</b>  AOD is a rare injury caused by high-energy trauma, occurring in less than 1% of pediatric trauma patients. Recommended treatment is C0-C2 fusion which, however, will result in significant loss of mobility in the craniocervical junction (CCJ), especially C1-C2 rotation. An alternative approach, with the ability of preserving mobility in the C1-C2 segment, is a temporary fixation that allows the ligaments to heal, after which the implants can be removed to regain function in the CCJ joints. By using a muscle-preserving approach and navigation for th2023-01-01T00:00:00Z2023 Jan2025-04-22T06:12:17.03Z2025-04-05T21:41:44.282ZS-EPMC98734793670392110.1055/s-0043-1760830