How I do it: cervical lateral mass screw fixation.

Background: Cervical lateral mass screw fixation is indicated for the treatment of cervical subaxial C3-C7 lesions associated with instability.

Method: The authors first describe the surgical anatomy of the subaxial cervical posterior approach. Then the Magerl technique is detailed. In particular, tricks to avoid complications are presented. The ideal screw entry point, direction, size and exit point are mentioned. A surgical video, artist's drawings and a radiological case report are included.

Conclusion: The Magerl technique is a safe and effective lateral mass fixation technique. Respecting anatomical landmarks is crucial to avoid nerve root, vertebral artery and facet joint injury.