Fig. 5From: Three-dimensional reduction method with a modified C2 isthmus screw in irreducible atlantoaxial dislocation: a technical noteReduction process: i Insert of C1 PS or LMS and modified C2 isthmus screw; ii fasten the pre-bent rod to modified C2 isthmus screw; iii pull the C1 and correct angulated dislocation; iv vertically distract; v achieve the reduction of lateral, rotational and vertical dislocation; vi fix the rod over screw heads and fusion with bone graft. LMS lateral mass screw; PS pedicle screwBack to article page