he has suffered from increasing weakness and numbness in his legs and arms

a neurological examination confirms a cervical myelopathy

x-rays revealing unstable ass who don't already a malformation

the goal that the surgery is to achieve stabilize a shin and fusion

if the Atlanta axial segment a C-1 lateral mass

and sea tu parle screw fixation construct will be performed

because of the delicate trajectory the vertebral artery

the screws are inserted under 3d fluoroscopic navigation

in order to achieve optimal and save screw placement

and to reduce radiation exposure to the surgical team

the midline occipital cervical incision is performed

and the crime you were to rosa action is

exposed with this issue 1

arch here and is she to

vertebra you can see the joint between c2 and c3

the parse here on the left side

is exposed bulow guru does she do

her a productive speedy images

are acquirer you can see

the images year for the country were two runs on trim

and a pointer is calibrated

and used to similar way

the placement of the screws bear or productively so using the pointer

on the right side lateral mass

of issue 1 you can determine

the depp's trajectory and point of entry

of your emblems here on

the left side and the

point of entry is marked using a drill

same procedure for the parcels

she drew on the left side the four points

are martin C one and she did you here you can

precisely defined a trajectory and the depths of your implant

the you know part of the assimilation

is the depths of the directory