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Key points: Stabilisation of the occiput to cervical spine was found to be strongest with pedicle screw fixation in cadaveric spines. Transarticular screws provided greater stability than hooks and wires. The downside to this technique is the loss of cervical rotation.doi:10.4038/sljs.v32i3.8085 fatcat:mzoeq57dtjdzncyfhgp2jwgpjq