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C1 C2 facet arthritis with severe chronic neck pain requiring C1 C2 posterior fusion

  • Severe unilateral neck pain without diagnosis for two years
  • Physical therapy without benefit
  • Severe associated unilateral headache
  • Physical exam shows inability to rotate the head to the affected side without severe pain
  • MRI normal except DJD changes

Preop CT Scan Images

Final Outcome