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Figure 2: A 21-year old male patient presented with progressive quadriparesis. CT can (a) showed mild to moderate BI with canal compression. CT scan with 3D reconstruction (b) and through the joints (c) showed a sagittal inclination of 100 degrees. A DCER was performed with spacer placement and a short fixation between the occiput and C2 laminae was also done (d and e). Postoperative CT scan revealed a good reduction and re-alignment (f)

Figure 2: A 21-year old male patient presented with progressive quadriparesis. CT can (a) showed mild to moderate BI with canal compression. CT scan with 3D reconstruction (b) and through the joints (c) showed a sagittal inclination of 100 degrees. A DCER was performed with spacer placement and a short fixation between the occiput and C2 laminae was also done (d and e). Postoperative CT scan revealed a good reduction and re-alignment (f)