Posterior plate fixation of the cervicothoracic junction

The technique of posterior plate fixation for the unstable cervicothora-cic spine is safe and efficacious. The surgeon must have a thorough understanding of the relevant anatomy and exercise proper caution in the application of this technique. In patients with insufficient anterior columns or severe deformities, a combined anterior approach and strut grafting should be considered to prevent secondary deformity and loss of reduction.