• Yong-Li Wang, Hong-Ming Xu, Xiang-Yang Wang, Yao Li, Zhong-Hai Shen, Kai-Liang Zhou, Feng Zhou, Hai-Ming Jin, Jiao-Xiang Chen, and Qiu-Yan Kong.
• *Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China†Department of Orthopaedic Surgery, Taizhou Municipal Hospital, Taizhou, China; and‡Department of Orthopaedic Surgery, The Second Hospital of Jiaxing, Jiaxing, China.
• Spine. 2015 Oct 15; 40 (20): 1564-71.

Study DesignThis study is a computed tomographic-based morphometric analysis of the pediatric occipital bones as related to pediatric occipitocervical fusion.ObjectiveTo quantify reference data concerning the thicknesses of the immature occipital bones to guide the pediatric occipitocervical fusion.Summary Of Background DataTo the best of our knowledge, no published study has provided insight into the thicknesses of pediatric occiputs with different age groups.Methods80 pediatric patients were divided into 4 age groups, and their occiputs were studied on Philips Brilliance 256 iCT scan.ResultsThe mean thickness ± standard deviations of the pediatric occipital bones with different age groups is shown. The median and the paramedian regions are always thicker than the more lateral regions at each age group and the thickest point in the occiputs is mostly at the external occipital protuberance. The mean thickness of occiputs showed an obvious significant difference between each 2 age groups and no significant difference between male and female in different age groups except the group 4.ConclusionOur investigation provides insight into the anatomy of occiputs in pediatric population and preoperative CT evaluation must be required to further decrease the risk of occipitocervical fusion.

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