Objective: In order to optimize and standardize our institutional performance we implemented image-guidance as routine for placement of odontoid lag-screws, C2 isthmic-, C1 lateral mass- and pedicle screws in the cervical- and upper thoracic spine. We here summarize our experience following the introduction[for full text, please go to the a.m. URL] ; SeriesInformation ; 66. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)