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Screw and screw-plate constructs have been used successfully in fixation of the cervical spine. This update focuses on the indications, complications, and nuances in the technique used for odontoid screws, transarticular C1-C2 screws, occipitocervical plating, posterior lateral mass screws, pedicle screws, and anterior plating.

(C) 2000 Lippincott Williams & Wilkins, Inc.