Giant cell tumour (GCT) is a benign aggressive tumour, which affects the axial and peripheral skeleton. Pathological fractures often occur in cases where epiphyses are affected. GCT located in the cervical spine is rare and poses a serious surgical challenge and as far as approach and range of operation is concerned, is subject of debate. We report a case of GCT involving two vertebral bodies, C2 and C3, treated with posterior occipito-cervical junction stabilization, denosumab chemotherapy and transoral corpectomy.
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