Posterior [[C1-C2 fusion]] with [[polyaxial screw]] and [[rod]] fixation for [[atlantoaxial fusion]] described by [[Atul Goel]] and Laheri, and subsequently modified by [[Jürgen Harms]]. see [[Harms Technique]] (C1 Lateral Mass Screws and C2 Pedicle/Pars Screws) Alternative to [[transarticular screw fixation]]. More forgiving in cases with an aberrant vertebral artery course.