RT Journal Article SR Electronic T1 Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report JF International Journal of Spine Surgery JO Int J Spine Surg FD International Society for the Advancement of Spine Surgery SP e20 OP e23 DO 10.1016/j.ijsp.2013.01.002 VO 7 A1 Clifton Meals A1 Rachel Harrison A1 Warren Yu A1 Joseph O'Brien YR 2013 UL http://ijssurgery.com//content/7/e20.abstract 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.