This procedure is used to treat instability at the cranio-cervical junction caused by a variety of disorders such as Rheumatiod Arthritis, trauma, tumors and infections. A rigid plate is attatched to the occipital portion of the skull which is then connected to the upper portion of the cervical spine with screws and rods to stabilize the spine. Bone graft is then placed between the Occiput and the upper cervical spine to perform the fusion.