Injury to the cervical spine can be debilitating injury. Fracture the Dens of the C1-C2 motion segment can lead to gross instability of the cervical spine and neurological deficit. It is important to achieve stability operatively. Posterior fusion is considered by some to be a relatively safe operation compared to other procedures. Any spinal surgery which relies on boney stabilization post-operatively must provide a sufficiently small amount of movement initially to allow bone consolidation and healing.

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