C1 - C2 instability - C1-C2 fusion C1-C2 instability can be caused by Infection, rheumatoid arthritis or trauma. This results in Neck pain, Loss of neck rotation, tingling in body and in advanced cases weakness with paralysis. Treatment is only - Surgical either C1-C2 fusion or OC fusion. This 36 year old presented to us with neck pain and tingling with imbalance on walking. His MRI showed c1-c2 instability with cord oedema. He underwent C1-C2 fusion by Goel- Harm technique and iliac crest graft. At 1year follow up there is good fusion with incorporation of Graft. #drpramodsaini #slipdisc #c1c2fusion #drpramodsaini #spinesurgery www.spineclinicnoida.com 9599428924