For C0-C2 tumors a posterior approach is recommended.
|Patient not fit for surgery due to medical comorbidities or very advanced metastatic disease.|
Nonoperative treatment consists of radiotherapy, and if needed, brace stabilization to prevent ranges of motion that cause pain.
|All C1 and C2 tumors|
Advantages (for C2 tumors)
- Avoidance of C2 nerve root manipulation
- Less dissection at C1 level
- Significant range of motion limitation
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|