Figure 25 The C1-C2 transarticular screws The C1-C2 transarticular screws cross the joint between the C1 and C2 lateral masses. In comparison to the pedicle screws in C2, the transarticular screws have less medial angulation in the transverse plane and greater vertical inclination in the sagittal plane. Level: Structures: Other Structures: Pathology: Procedure: View: C1 – C2 Neural: Brainstem and spinal cord Dura Vascular: Carotid artery and vertebral arteries None Normal Position of C1-C2 transarticular screws Composite (3/4), Front, Lateral, Caudal