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70% of patients were in the 2nd group of risk according to the ASA scale. The analysis of damage to the cranio-vertebral junction showed that the main cause of injury was a fall. 21% patients presented tetraparesis. When qualifying patients after trauma to the craniovertebral junction for surgery, the degree of risk should be taken into account. Despite the high complication rate which was over 50 %, presented technique was effective because 95% patient achieved bone fusion and stability C0-C1-C2 complex. The analysis of damage to t