{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:08:46Z","timestamp":1790791726047,"version":"4.1.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T00:00:00Z","timestamp":1549065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"published-print":{"date-parts":[[2019,4]]},"DOI":"10.1007\/s00701-019-03824-5","type":"journal-article","created":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T02:45:33Z","timestamp":1549075533000},"page":"685-693","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Comparison of radiological and clinical outcomes after surgical reduction with fixation or halo-vest immobilization for treating unstable atlas fractures"],"prefix":"10.1007","volume":"161","author":[{"given":"Moon Kyu","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1503-6343","authenticated-orcid":false,"given":"Jun Jae","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,2,2]]},"reference":[{"key":"3824_CR1","doi-asserted-by":"publisher","first-page":"E1360","DOI":"10.1097\/BRS.0b013e318206cf63","volume":"36","author":"L Abeloos","year":"2011","unstructured":"Abeloos L, De Witte O, Walsdorff M, Delpierre I, Bruneau M (2011) Posterior osteosynthesis of the atlas for nonconsolidated Jefferson fractures: a new surgical technique. Spine (Phila Pa 1976) 36:E1360\u2013E1363","journal-title":"Spine (Phila Pa 1976)"},{"key":"3824_CR2","doi-asserted-by":"publisher","first-page":"83","DOI":"10.3171\/spi.2005.2.1.0083","volume":"2","author":"CP Ames","year":"2005","unstructured":"Ames CP, Acosta F, Nottmeier E (2005) Novel treatment of basilar invagination resulting from an untreated C-1 fracture associated with transverse ligament avulsion. Case report and description of surgical technique. J Neurosurg Spine 2:83\u201387","journal-title":"J Neurosurg Spine"},{"key":"3824_CR3","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1007\/s00701-017-3443-2","volume":"160","author":"SH Baek","year":"2018","unstructured":"Baek SH, Yoo SH, Cho KR, Shin JJ (2018) Cerebellar infarction after posterior direct reduction and fixation to treat an unstable Jefferson fracture: a case report. Acta Neurochir 160:471\u2013477","journal-title":"Acta Neurochir"},{"key":"3824_CR4","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1097\/BSD.0b013e3181e12419","volume":"24","author":"R Bransford","year":"2011","unstructured":"Bransford R, Chapman JR, Bellabarba C (2011) Primary internal fixation of unilateral C1 lateral mass sagittal split fractures: a series of 3 cases. J Spinal Disord Tech 24:157\u2013163","journal-title":"J Spinal Disord Tech"},{"key":"3824_CR5","doi-asserted-by":"crossref","first-page":"E891","DOI":"10.1097\/BRS.0000000000002584","volume":"43","author":"DH Chun","year":"2018","unstructured":"Chun DH, Yoon DH, Kim KN, Yi S, Shin DA, Ha Y (2018) Biomechanical comparison of four different atlantoaxial posterior fixation constructs in adults: a finite element study. Spine (Phila Pa 1976) 43:E891\u2013E897","journal-title":"Spine (Phila Pa 1976)"},{"key":"3824_CR6","doi-asserted-by":"publisher","first-page":"1683","DOI":"10.2106\/00004623-197456080-00019","volume":"56","author":"JW Fielding","year":"1974","unstructured":"Fielding JW, Cochran G, Lawsing JF 3rd, Hohl M (1974) Tears of the transverse ligament of the atlas. A clinical and biomechanical study. J Bone Joint Surg Am 56:1683\u20131691","journal-title":"J Bone Joint Surg Am"},{"key":"3824_CR7","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.1007\/s00402-017-2737-4","volume":"137","author":"R Gumpert","year":"2017","unstructured":"Gumpert R, Poglitsch T, Krassnig R, Pranzl R, Puchwein P (2017) Reduction and ring fixation of instable C1 fractures with monoaxial pedicle screws. Arch Orthop Trauma Surg 137:1253\u20131259","journal-title":"Arch Orthop Trauma Surg"},{"key":"3824_CR8","doi-asserted-by":"publisher","first-page":"2467","DOI":"10.1097\/00007632-200111150-00014","volume":"26","author":"J Harms","year":"2001","unstructured":"Harms J, Melcher RP (2001) Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 26:2467\u20132471","journal-title":"Spine (Phila Pa 1976)"},{"key":"3824_CR9","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1007\/s11999-008-0143-5","volume":"466","author":"BM Haus","year":"2008","unstructured":"Haus BM, Harris MB (2008) Case report: nonoperative treatment of an unstable Jefferson fracture using a cervical collar. Clin Orthop Relat Res 466:1257\u20131261","journal-title":"Clin Orthop Relat Res"},{"key":"3824_CR10","doi-asserted-by":"publisher","first-page":"2892","DOI":"10.1016\/j.spinee.2014.04.020","volume":"14","author":"B He","year":"2014","unstructured":"He B, Yan L, Zhao Q, Chang Z, Hao D (2014) Self-designed posterior atlas polyaxial lateral mass screw-plate fixation for unstable atlas fracture. Spine J 14:2892\u20132896","journal-title":"Spine J"},{"key":"3824_CR11","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1007\/s00701-002-0998-2","volume":"144","author":"C Hein","year":"2002","unstructured":"Hein C, Richter HP, Rath SA (2002) Atlantoaxial screw fixation for the treatment of isolated and combined unstable Jefferson fractures - experiences with 8 patients. Acta Neurochir 144:1187\u20131192","journal-title":"Acta Neurochir"},{"key":"3824_CR12","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1097\/00002517-199306050-00004","volume":"6","author":"JG Heller","year":"1993","unstructured":"Heller JG, Viroslav S, Hudson T (1993) Jefferson fractures: the role of magnification artifact in assessing transverse ligament integrity. J Spinal Disord 6:392\u2013396","journal-title":"J Spinal Disord"},{"issue":"Suppl 1","key":"3824_CR13","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s00590-012-0997-9","volume":"22","author":"A Hioki","year":"2012","unstructured":"Hioki A, Miyamoto K, Inoue T, Hosoe H, Shinoda J, Iwama T, Shimizu K (2012) Successful antibiotic treatment for subdural empyema and seizure due to methicillin-resistant Staphylococcus aureus as a complication of halo orthosis usage: a case report. Eur J Orthop Surg Traumatol 22(Suppl 1):25\u201328","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"3824_CR14","doi-asserted-by":"publisher","first-page":"E219","DOI":"10.1097\/BSD.0b013e31829a36c5","volume":"27","author":"Y Hu","year":"2014","unstructured":"Hu Y, Xu RM, Albert TJ, Vaccoro AR, Zhao HY, Ma WH, Gu YJ, Yuan ZS (2014) Function-preserving reduction and fixation of unstable Jefferson fractures using a C1 posterior limited construct. J Spinal Disord Tech 27:E219\u2013E225","journal-title":"J Spinal Disord Tech"},{"key":"3824_CR15","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3340\/jkns.2011.50.1.17","volume":"50","author":"SK Kim","year":"2011","unstructured":"Kim SK, Shin JJ, Kim TH, Shin HS, Hwang YS, Park SK (2011) Clinical outcomes of halo-vest immobilization and surgical fusion of odontoid fractures. J Korean Neurosurg Soc 50:17\u201322","journal-title":"J Korean Neurosurg Soc"},{"key":"3824_CR16","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1097\/00007632-198805000-00002","volume":"13","author":"CD Landells","year":"1988","unstructured":"Landells CD, Van Peteghem PK (1988) Fractures of the atlas: classification, treatment and morbidity. Spine 13:450\u2013452","journal-title":"Spine"},{"key":"3824_CR17","doi-asserted-by":"publisher","first-page":"680","DOI":"10.2106\/00004623-199173050-00006","volume":"73","author":"AM Levine","year":"1991","unstructured":"Levine AM, Edwards CC (1991) Fractures of the atlas. J Bone Joint Surg Am 73:680\u2013691","journal-title":"J Bone Joint Surg Am"},{"key":"3824_CR18","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.1016\/j.injury.2010.09.025","volume":"41","author":"UG Longo","year":"2010","unstructured":"Longo UG, Denaro L, Campi S, Maffulli N, Denaro V (2010) Upper cervical spine injuries: indications and limits of the conservative management in halo vest. A systematic review of efficacy and safety. Injury 41:1127\u20131135","journal-title":"Injury"},{"key":"3824_CR19","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1097\/01.brs.0000202739.05878.d3","volume":"31","author":"TG Maak","year":"2006","unstructured":"Maak TG, Tominaga Y, Panjabi MM, Ivancic PC (2006) Alar, transverse, and apical ligament strain due to head-turned rear impact. Spine 31:632\u2013638","journal-title":"Spine"},{"key":"3824_CR20","doi-asserted-by":"publisher","first-page":"S103","DOI":"10.1227\/01.NEU.0000249220.50085.E4","volume":"60","author":"JA Menendez","year":"2007","unstructured":"Menendez JA, Wright NM (2007) Techniques of posterior C1-C2 stabilization. Neurosurgery 60:S103\u2013S111","journal-title":"Neurosurgery"},{"key":"3824_CR21","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.2214\/ajr.170.4.9530071","volume":"170","author":"SE Mirvis","year":"1998","unstructured":"Mirvis SE (1998) How much lateral atlantodental interval asymmetry and atlantoaxial lateral mass asymmetry is acceptable on an open-mouth odontoid radiograph, and when is additional investigation necessary? AJR Am J Roentgenol 170:1106\u20131107","journal-title":"AJR Am J Roentgenol"},{"key":"3824_CR22","doi-asserted-by":"publisher","first-page":"S466","DOI":"10.1097\/00007632-199110001-00002","volume":"16","author":"T Oda","year":"1991","unstructured":"Oda T, Panjabi MM, Crisco JJ 3rd, Oxland TR, Katz L, Nolte LP (1991) Experimental study of atlas injuries. II. Relevance to clinical diagnosis and treatment. Spine (Phila Pa 1976) 16:S466\u2013S473","journal-title":"Spine (Phila Pa 1976)"},{"key":"3824_CR23","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.spinee.2010.11.015","volume":"11","author":"K Oshima","year":"2011","unstructured":"Oshima K, Sakaura H, Iwasaki M, Nakura A, Fujii R, Yoshikawa H (2011) Repeated vertebrobasilar thromboembolism in a patient with severe upper cervical instability because of rheumatoid arthritis. Spine J 11:e1\u2013e5","journal-title":"Spine J"},{"key":"3824_CR24","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s00701-009-0198-4","volume":"151","author":"M Payer","year":"2009","unstructured":"Payer M, Luzi M, Tessitore E (2009) Posterior atlanto-axial fixation with polyaxial C1 lateral mass screws and C2 pars screws. Acta Neurochir 151:223\u2013229 discussion 229","journal-title":"Acta Neurochir"},{"key":"3824_CR25","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.3174\/ajnr.A0660","volume":"28","author":"CA Rojas","year":"2007","unstructured":"Rojas CA, Bertozzi JC, Martinez CR, Whitlow J (2007) Reassessment of the craniocervical junction: normal values on CT. AJNR Am J Neuroradiol 28:1819\u20131823","journal-title":"AJNR Am J Neuroradiol"},{"key":"3824_CR26","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1097\/01.BRS.0000116984.42466.7E","volume":"29","author":"M Ruf","year":"2004","unstructured":"Ruf M, Melcher R, Harms J (2004) Transoral reduction and osteosynthesis C1 as a function-preserving option in the treatment of unstable Jefferson fractures. Spine 29:823\u2013827","journal-title":"Spine"},{"key":"3824_CR27","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1016\/j.spinee.2015.11.041","volume":"16","author":"J Shatsky","year":"2016","unstructured":"Shatsky J, Bellabarba C, Nguyen Q, Bransford RJ (2016) A retrospective review of fixation of C1 ring fractures--does the transverse atlantal ligament (TAL) really matter? Spine J 16:372\u2013379","journal-title":"Spine J"},{"key":"3824_CR28","doi-asserted-by":"publisher","first-page":"543","DOI":"10.2106\/00004623-197052030-00013","volume":"52","author":"KF Spence Jr","year":"1970","unstructured":"Spence KF Jr, Decker S, Sell KW (1970) Bursting atlantal fracture associated with rupture of the transverse ligament. J Bone Joint Surg Am 52:543\u2013549","journal-title":"J Bone Joint Surg Am"},{"key":"3824_CR29","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1016\/j.amjmed.2018.05.018","volume":"131","author":"SY Tay","year":"2018","unstructured":"Tay SY, Li CW, Ko CH, Chan WP (2018) A nonsurgical solution: Jefferson (burst) fracture. Am J Med 131:1061\u20131063","journal-title":"Am J Med"},{"key":"3824_CR30","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/S0030-5898(20)32199-4","volume":"9","author":"AA White 3rd","year":"1978","unstructured":"White AA 3rd, Panjabi MM (1978) The clinical biomechanics of the occipitoatlantoaxial complex. Orthop Clin North Am 9:867\u2013878","journal-title":"Orthop Clin North Am"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00701-019-03824-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-019-03824-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-019-03824-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,11]],"date-time":"2022-09-11T09:03:10Z","timestamp":1662886990000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00701-019-03824-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,2]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["3824"],"URL":"https:\/\/doi.org\/10.1007\/s00701-019-03824-5","relation":{},"ISSN":["0001-6268","0942-0940"],"issn-type":[{"value":"0001-6268","type":"print"},{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,2]]},"assertion":[{"value":"23 November 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 January 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All human and animal studies were approved by the appropriate ethics committee and were performed in accordance with the ethical standards of the 1964 Declaration of Helsinki and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}