The Cervicothoracic Junction

The cervicothoracic junction (CTJ) represents a unique region in the spine because of its biomechanical properties. It is predisposed to various traumatic injuries, tumor, and iatrogenic instability. It is also a difficult region to access anteriorly because of the vital structures ventral to the CTJ. The development of new surgical techniques and new instrumentation has allowed better access and fixation to the CTJ.