Goel-Harms Construct for C1-C2 Fusions in Children
C1 lateral mass and C2 pedicle: This is a cantilever construct consisting of C1 lateral mass screws and C2 pedicle screws. The screws anchored in C2 hold the rod, which in turn supports C1, preventing its anterior movement.
Rigidity similar to that with transarticular screws: This construct is feasible in some patients with contraindications to transarticular screws; it provides similar rigidity (17).
May augment with cables: Additional rigidity can be obtained by supplementing the construct with either sublaminar or spinous process wiring.