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C1 lateral mass screw placement is a powerful technique for segmental control of the C1 vertebra. In this report, we describe surgical technique for placement of C1 lateral mass screws, on our C1 specimen. C1 lateral mass is anatomically ideally suited for screw fixation to achieve C1-C2 arthrodesis. C1 lateral mass screw fixation is a safe technique and can be performed to achieve rigid and immediate stabilization.