Abstract
BACKGROUND CONTEXT: Atlanto-axial fixation is a necessary treatment modality in a variety of pathologies, including cervical trauma, degenerative disease and neoplasm. Several posterior fixation techniques are currently in practice, including fixation of the C1 lateral masses to the C2 pars, pedicles or lamina. Simple interspinous wiring is also an option. Anterior atlanto-axial fixation may be associated with less risk to the neurovascular structures in the upper cervical spine, particularly the vertebral arteries.
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