@article {Mealse20, author = {Clifton Meals and Rachel Harrison and Warren Yu and Joseph O{\textquoteright}Brien}, title = {Instrumented reduction of a fixed C1{\textendash}2 subluxation using occipital and C2/C3 fixation: A case report}, volume = {7}, pages = {e20--e23}, year = {2013}, doi = {10.1016/j.ijsp.2013.01.002}, publisher = {International Journal of Spine Surgery}, abstract = {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{\textendash}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.}, URL = {https://www.ijssurgery.com/content/7/e20}, eprint = {https://www.ijssurgery.com/content/7/e20.full.pdf}, journal = {International Journal of Spine Surgery} }