[Ventral spinal cord compression on the C1-C2 levels with injury of the craniocervical junction]

While CII vertebral dent fracture, neurological complications occur due to its 4 mm shift. The direct approach application (transoral--while the dent fracture or anterolateral--while hagman fracture occurrence) makes possible to achieve an adequate decompression of spinal cord and the vertebral channel reconstruction. Rigid occipitocervical spondilodesis achievement is guaranteed by the metallic loop application and the vertebral arches fixation. While conservative treatment of such a fracture the bones fragments reposition due to the sceletal pulling conduction constitutes the preliminary stage of external immobilization (SOMI or Halo) application.