{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:21:25Z","timestamp":1785252085325,"version":"3.55.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004505","name":"Universit\u00e0 degli Studi di Catania","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004505","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Atypical Hangman\u2019s fractures may involve bilateral C2 pedicle fractures. Surgical fixation is often required to prevent instability and neurological impairment. The Judet technique, involving transpedicular screw fixation, offers a targeted approach to stabilize C2 pedicle fractures while preserving cervical motion.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>This article presents a neuronavigation-guided modification of the Judet technique for C2 pedicle screw placement. Advanced intraoperative computed tomography (CT) imaging, virtual trajectory planning and intraoperative navigation guidance provide surgical precision and patient safety.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Neuronavigation can improve the classical Judet technique, enhancing clinical safety and accuracy in fixation of C2 pedicle fractures. This minimally invasive\/mini-open approach preserves C1-C2 mobility and reduces complications.\n<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00701-025-06476-w","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T05:30:34Z","timestamp":1741757434000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Neuronavigation-guided Judet screw technique for C2 pedicle fractures: how I do it"],"prefix":"10.1007","volume":"167","author":[{"given":"Giuseppe Maria Vincenzo","family":"Barbagallo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Certo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo","family":"Vitaliti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Bonomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"6476_CR1","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1007\/978-3-031-36084-8_45","volume":"135","author":"F Certo","year":"2023","unstructured":"Certo F, Altieri R, Garozzo M, Visocchi M, Barbagallo GMV (2023) Direct transpedicular c2 fixation for the surgical management of hangman\u2019s fractures: a \u201csecond youth\u201d for the judet approach. Acta Neurochir Suppl 135:291\u2013299. https:\/\/doi.org\/10.1007\/978-3-031-36084-8_45","journal-title":"Acta Neurochir Suppl"},{"issue":"1","key":"6476_CR2","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/s10143-004-0358-1","volume":"28","author":"H ElSaghir","year":"2005","unstructured":"ElSaghir H, Boehm H, Greiner-Perth R (2005) Mini-open approach combined with percutaneous transarticular screw fixation for C1\u2013C2 fusion. Neurosurg Rev 28(1):59\u201363. https:\/\/doi.org\/10.1007\/s10143-004-0358-1","journal-title":"Neurosurg Rev"},{"issue":"2","key":"6476_CR3","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1590\/S1413-78522012000200005","volume":"20","author":"FP Ferro","year":"2012","unstructured":"Ferro FP, Borgo GD, Letaif OB, Cristante AF, Marcon RM, Lutaka AS (2012) Traumatic spondylolisthesis of the axis: epidemiology, management and outcome. Acta ortopedica brasileira 20(2):84\u201387. https:\/\/doi.org\/10.1590\/S1413-78522012000200005","journal-title":"Acta Ortopedica Brasileira"},{"issue":"8","key":"6476_CR4","doi-asserted-by":"publisher","first-page":"1374","DOI":"10.1016\/j.spinee.2017.12.003","volume":"18","author":"RJ Hlubek","year":"2018","unstructured":"Hlubek RJ, Bohl MA, Cole TS, Morgan CD, Xu DS, Chang SW, Turner JD, Kakarla UK (2018) Safety and accuracy of freehand versus navigated C2 pars or pedicle screw placement. Spine J: Off J North Am Spine society 18(8):1374\u20131381. https:\/\/doi.org\/10.1016\/j.spinee.2017.12.003","journal-title":"Spine J: Off J North Am Spine society"},{"key":"6476_CR5","unstructured":"Judet R, Roy-Camille R, Saillant G (1970) Actualit\u00e9s de chirurgie orthop\u00e9dique de l\u2019Hospital Raymond-Poin car\u00e9. VIII. Fractures du rachis cervical. Paris: Masson, pp. 174\u201395"},{"key":"6476_CR6","unstructured":"Leconte P (1964) Fracture et luxation des deux premieres vertebres cervicales. In: Judet R, (ed). Luxation Congenitale De La Hanche. Fractures Du Cou-De-Pied Rachis Cervical. Actualites De Chirurgie Orthopedique De l\u2019Hopital Raymond-Poincare, vol. 3. Paris: Masson et Cie, pp. 147\u201366"},{"issue":"3","key":"6476_CR7","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1007\/s00586-005-0918-2","volume":"15","author":"XF Li","year":"2006","unstructured":"Li XF, Dai LY, Lu H, Chen XD (2006) A systematic review of the management of hangman\u2019s fractures. European Spine J\u202f: Off Publ European Spine Soc European Spinal Deformity Soc European sect Cervical spine res Soc 15(3):257\u2013269. https:\/\/doi.org\/10.1007\/s00586-005-0918-2","journal-title":"European Spine J : Off Publ European Spine Soc European Spinal Deformity Soc European sect Cervical spine res Soc"},{"issue":"14","key":"6476_CR8","doi-asserted-by":"publisher","first-page":"1954","DOI":"10.1097\/00007632-199310001-00005","volume":"18","author":"JK Starr","year":"1993","unstructured":"Starr JK, Eismont FJ (1993) Atypical hangman\u2019s fractures. Spine 18(14):1954\u20131957. https:\/\/doi.org\/10.1097\/00007632-199310001-00005","journal-title":"Spine"},{"issue":"22","key":"6476_CR9","doi-asserted-by":"publisher","first-page":"E1389","DOI":"10.1097\/BRS.0b013e31826a0c9f","volume":"37","author":"M Yamazaki","year":"2012","unstructured":"Yamazaki M, Okawa A, Furuya T, Sakuma T, Takahashi H, Kato K, Fujiyoshi T, Mannoji C, Takahashi K, Koda M (2012) Anomalous vertebral arteries in the extra- and intraosseous regions of the craniovertebral junction visualized by 3-dimensional computed tomographic angiography: analysis of 100 consecutive surgical cases and review of the literature. Spine 37(22):E1389\u2013E1397. https:\/\/doi.org\/10.1097\/BRS.0b013e31826a0c9f","journal-title":"Spine"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-025-06476-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-025-06476-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-025-06476-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T17:14:00Z","timestamp":1741799640000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-025-06476-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,12]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6476"],"URL":"https:\/\/doi.org\/10.1007\/s00701-025-06476-w","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,12]]},"assertion":[{"value":"10 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the University of Catania and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Patients signed informed consent regarding publishing their data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"69"}}