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The cervicothoracic junction (CVJ) is a potentially unstable site due to an abrupt transition from the lordotic mobile cervical spine to the more rigid kyphotic thoracic spine. Highgrade traumatic spondylolisthesis at the CVJ without neurological deficit is rare and should be treated with anterior and posterior stabilization techniques due to severely unstable fractures. With its potential anatomic instability, lesions at the CVJ can lead to devastating spinal cord injury. The authors describe two cases of high-grade traumatic spondylolisthesis of C7 on T1 without neurological deficits and discuss clinical features and different surgical strategies according to patients’ condition.

High-grade Traumatic Spondylolisthesis of C7 on T1 with No Neurological Deficit