[Surgical treatment of metastases in the cervical spine. Principal orientations]

Alongside classical methods used against metastatic malignant disease, two methods are suggested aimed at stabilising secondary bony lesions of the cervical spine. For the upper cervical spine an occipito-vertebral plate is used together with a bony arthrodesis using an iliac crest graft. For the lower cervical spine a mixed approach makes possible adequate medullary decompression when used in association with screw fixation of the posterior articulations using Roy Camille plates and a replacement cervical prosthesis after corporectomy.