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Surgical Results

C1 C2 facet arthritis with severe chronic neck pain requiring C1 C2 posterior fusion

80 year old woman with neck pain
•Severe unilateral neck pain without diagnosis for two years
•Physical therapy without benefit
•Severe associated unilateral headache
•Physical exam shows inability to rotate the head to the affected side without severe pain
•MRI normal except DJD changes

Preop CT Scan Images



•Posterior C1 C2 fusion with Harms Technique using iliac crest auto bone graft
•Neck Collar for two months

One year Followup X rays 

Xray1Excellent Result


Final Outcome

•No pain at final one year followup
•Solid fusion
•1st time she did not have neck pain in many years
•Extremely gratified patient