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Figure 2: Posterior C1-C2 fixation with Goel/Harms technique (a– f). This 19-year-old patient had a fall from height leading to neck pain with progressive quadriparesis for 3 months (American Spinal Injury Association [ASIA] C). (a) Computed tomography (CT) scan showing posteriorly inclined, significantly displaced type II odontoid fracture; (b) Post-traction X-ray showing incomplete reduction of the fracture; (c) X-ray after C1 lateral mass and C2 pars fixation showing the screw in situ (Goel/Harms procedure); (d) Midline sagittal CT image showing the healed fracture; (e) Right parasagittal; and, (f) Left parasagittal CT image showing the healed fracture

Figure 2: Posterior C1-C2 fixation with Goel/Harms technique (a– f). This 19-year-old patient had a fall from height leading to neck pain with progressive quadriparesis for 3 months (American Spinal Injury Association [ASIA] C). (a) Computed tomography (CT) scan showing posteriorly inclined, significantly displaced type II odontoid fracture; (b) Post-traction X-ray showing incomplete reduction of the fracture; (c) X-ray after C1 lateral mass and C2 pars fixation showing the screw <i>in situ</i> (Goel/Harms procedure); (d) Midline sagittal CT image showing the healed fracture; (e) Right parasagittal; and, (f) Left parasagittal CT image showing the healed fracture