C1/2 subluxation. Tumour erosion of C2 Odontoid peg, body and C1 anterior arch. Metastatic lesion in C6 vertebral body.
Biopsy of perianal lesion confirmed squamous cell carcinoma of the anus.
Palliative surgical treatment.
Realigment of spine and Posterior Occipito-Cervical stablisation + fusion (C0 – C7). Radiotherapy to C1/2 and C6..
Patient positioned prone. C1/2 carefully reduced with gentle cervical spine traction and dynamic fluoroscopy, reduced to anatomical alignment. Midline Posterior approach. Occiput decorticated. Synthes Cervifix system used to stabilise spine. Spinous process bone grafts + artificial bone substance. Lateral mass screws used at all cervical spine levels. Crosslink used