PT  - JOURNAL ARTICLE
AU  - Meals, Clifton
AU  - Harrison, Rachel
AU  - Yu, Warren
AU  - O'Brien, Joseph
TI  - Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report
AID  - 10.1016/j.ijsp.2013.01.002
DP  - 2013 Jan 01
TA  - International Journal of Spine Surgery
PG  - e20--e23
VI  - 7
4099  - https://www.ijssurgery.com/content/7/e20.short
4100  - https://www.ijssurgery.com/content/7/e20.full
SO  - Int J Spine Surg2013 Jan 01; 7
AB  - Background Different strategies exist for reduction of the cervical spine. Placement of C1 lateral mass screws is a powerful technique but may be impossible in a degenerative or revision setting. We report the open, posterior-only, and instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation. The patient had rheumatoid arthritis and had undergone previous surgery of the cervical spine.Methods We performed a retrospective chart review and focused appraisal of the literature.Results Satisfactory reduction was achieved with this infrequently reported technique.Conclusions/Level of Evidence Spine surgeons may consider the described procedure a viable treatment alternative in problematic subluxations of the cervical spine. Level V.