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Both the atlanto-axial joints can be exposed adequately by an unilateral extra-pharyngeal approach from the right side. The atlanto-axial dislocation can be reduced, joints can be decorticated and bone graft can be introduced into the joint. The odontoid process can be drilled and removed. The C1-C2 joint can be fixed either by 1. C1 lateral mass and C2 body screw plate bilaterally, or 2. Bilateral anterior C2-C1 transarticular screws. Anterior Extra Pharyngeal Approach and Fixation of the Atlanto-axial Joint with Screw Plate Construct or Anterior Transarticular Screws:and Review of Literature Sushil Patkar, M.D. Bhartividyapeeth Medical College and Hospital Poona Hospital & Research Center

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Anterior Extra Pharyngeal Approach and Fixation of the Atlanto-axial Joint with Screw Plate Construct or Anterior Transarticular Screws : and Review of Literature