INTRODUCTION: Cervical spine metastases are relatively rare entities. Only about 10  % of all spinal metastases can be found in this localization. Magnetic resonance imaging and computed tomography are routinely used for early detection. The initial, clinical examination and @entity1 ' complaints may not always be very prominent. Treatment of such lesions is very challenging and needs to consider @entity1 's comorbidities, quality of life and life expectation. Surgery for these lesions should always be performed in specialized spine units. CASE PRESENTATION: We present here a clinical history of a 67-year-old male with acutely occurring @entity4048 and some neck discomfort for last 2  weeks. No previous @entity4048 history or @entity130 . There were no neurological symptoms, only a slight @entity400 in the @entity2045 . The detailed past medical history of the @entity1 revealed @entity1030 ( @entity1030 ), @entity6 ( @entity3918 ), and smoking 30-pack-year. The first cervical spine X-ray did not demonstrate any pathological findings. We performed a CT scan, which demonstrated a @entity75 involving the vertebral body of C2 with collapse of odontoid process and subsequent C1-C2 instability. In the next step, because of no medical history of @entity5 , we performed CT scan of the chest and abdomen, and found a suspicious mass in the right main bronchus and liver. We suggested a bronchial biopsy of the mass but the @entity1 refused this procedure and requested only surgery for the @entity1605 . The @entity1 underwent the described surgical procedure through high anterior cervical approach. We collected the tissue for histology, and performed radiofrequency thermoablation, cement augmentation, and odontoid screw fixation. The @entity1 made an uneventful recovery and 2  weeks after surgery he was able to start his palliative chemotherapy for @entity153 , which was diagnosed based on biopsy acquired during this procedure. DISCUSSION: There are no specific guidelines regarding treatment of secondary lesions of C2 with instability at C1-C2 level. We describe here an interesting approach for the management of @entity1605 which may be used also at other levels of cervical spine. We did not observe any leakage of cement into the spinal canal. This procedure allows for fast recovery of @entity1 , with early unrestricted range of motion, and beginning of early chemotherapy.

Acute XXXX caused by atlanto-axial instability secondary to pathologic fracture involving odontoid process and C2 vertebral body: treatment with radiofrequency thermoablation, cement augmentation and odontoid screw fixation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1605 :: ('OMIM:217000', 'Disease') :: ['C2 lesion', 'lytic lesions of C2'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity2045 :: ('MESH:D009207', 'Disease') :: ['left upper extremity'] @entity75 :: ('MESH:D001927', 'Disease') :: ['lytic lesion'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity4048 :: ('MESH:D019547', 'Disease') :: ['neck pain'] @entity400 :: ('MESH:D014202', 'Disease') :: ['tremor'] @entity153 :: ('MESH:D002283', 'Disease') :: ['bronchial carcinoma'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease', 'COPD'] @entity3918 :: ('MESH:D009223', 'Disease') :: ['DM type II'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity4048 :: (MESH:D019547,Disease) :: ['neck pain']
