Abstract
I e P osterior fixation techniques of atlantoaxial joints have greatly advanced since C1 lateral mass–C2 pedicle screw fixation was introduced by Goel and Harms (2, 3, 4). Daniel et al. eported an excellent experimental study on biomechanical stability f posterior-alone fixation technique following three kinds of cranioertebral realignment using flesh human cadavers. The study roved reliable biomechanical stability on flexion-extension, lateral ending, and axial rotation loading in stand-alone spacers in the tlantoaxial joint, combined with C1 lateral mass screw–C2 pedicle crew fixation and again combined with midline wiring construct.
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