The authors present their experience with surgical treatment of odontoid process fractures using a direct screw fixation technique via an anterolateral retropharyngeal approach. Nine consecutive patients have been operated on with this technique. There were two deaths unrelated to the surgery, and anatomical union with conservation of the craniospinal hinge mobility was achieved in the remaining seven patients. The direct screw fixation technique appears feasible, efficient, and logical.

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Background and aim of the work: Therapeutic uniportal video-assisted thoracic surgery (VATS) has less postoperative pain, shorter hospital stay, and less operative time.

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