{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:24:56Z","timestamp":1786991096405,"version":"build-2736575974"},"reference-count":16,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T00:00:00Z","timestamp":1660521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002732","name":"AOSpine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002732","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002617","name":"AORN Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002617","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001702","name":"AO Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001702","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","injuryjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Injury"],"published-print":{"date-parts":[[2022,10]]},"DOI":"10.1016\/j.injury.2022.08.030","type":"journal-article","created":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T10:14:55Z","timestamp":1660558495000},"page":"3248-3254","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["The AO spine upper cervical injury classification system: Do work setting or trauma center affiliation affect classification accuracy or reliability?"],"prefix":"10.1016","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9106-2228","authenticated-orcid":false,"given":"Mark J.","family":"Lambrechts","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Schroeder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0512-6019","authenticated-orcid":false,"given":"Brian A.","family":"Karamian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2152-5725","authenticated-orcid":false,"given":"Jose A.","family":"Canseco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Bransford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cumhur","family":"Oner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorin M.","family":"Benneker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Kandziora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajasekaran","family":"Shanmuganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi","family":"Kanna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2645-0483","authenticated-orcid":false,"given":"Andrei F.","family":"Joaquim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens R","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1157-4889","authenticated-orcid":false,"given":"Emiliano","family":"Vialle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6177-7145","authenticated-orcid":false,"given":"Mohammad","family":"El-Sharkawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9404-8448","authenticated-orcid":false,"given":"Marcel","family":"Dvorak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Schnake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher K.","family":"Kepler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander R.","family":"Vaccaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"20","key":"10.1016\/j.injury.2022.08.030_bib0001","doi-asserted-by":"crossref","first-page":"2302","DOI":"10.1097\/00007632-199410150-00009","article-title":"Cervical spine injuries in patients 65 and older","volume":"19","author":"Spivak","year":"1976","journal-title":"Spine (Phila Pa"},{"issue":"1","key":"10.1016\/j.injury.2022.08.030_bib0002","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4103\/jcvjs.jcvjs_164_21","article-title":"Epidemiology of atlas fractures in the United States: a 20-year analysis","volume":"13","author":"Lyons","year":"2022","journal-title":"J Craniovertebr Junct Spine"},{"issue":"4","key":"10.1016\/j.injury.2022.08.030_bib0003","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s00586-008-0603-3","article-title":"Evaluation of morbidity, mortality and outcome following cervical spine injuries in elderly patients","volume":"17","author":"Malik","year":"2008","journal-title":"Eur Spine J"},{"issue":"1","key":"10.1016\/j.injury.2022.08.030_bib0004","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jss.2015.12.032","article-title":"The elderly patient with spinal injury: treat or transfer?","volume":"202","author":"Barmparas","year":"2016","journal-title":"J Surg Res"},{"issue":"43","key":"10.1016\/j.injury.2022.08.030_bib0005","doi-asserted-by":"crossref","first-page":"e5205","DOI":"10.1097\/MD.0000000000005205","article-title":"Traumatic upper cervical spinal fractures in teaching hospitals of China over 13 years: a retrospective observational study","volume":"95","author":"Wang","year":"2016","journal-title":"Medicine (Baltimore)"},{"issue":"2","key":"10.1016\/j.injury.2022.08.030_bib0006","doi-asserted-by":"crossref","first-page":"206","DOI":"10.3171\/jns.1994.81.2.0206","article-title":"Fractures of the C-2 vertebral body","volume":"81","author":"Benzel","year":"1994","journal-title":"J Neurosurg"},{"issue":"2","key":"10.1016\/j.injury.2022.08.030_bib0007","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s00586-003-0653-5","article-title":"Atlanto-occipital dislocation: four case reports of survival in adults and review of the literature","volume":"13","author":"Labler","year":"2004","journal-title":"Eur Spine J"},{"key":"10.1016\/j.injury.2022.08.030_bib0008","article-title":"Update on upper cervical injury classifications: the new AO upper cervical spine classification system","author":"Vaccaro","year":"2021","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.injury.2022.08.030_bib0009","article-title":"AO spine subaxial classification group members. Development of online technique for international validation of the AO spine subaxial injury classification system","author":"Lambrechts","year":"2022","journal-title":"Global Spine J."},{"key":"10.1016\/j.injury.2022.08.030_bib0010","series-title":"Wiley encyclopedia of clinical trials","first-page":"473","year":"2008"},{"issue":"1","key":"10.1016\/j.injury.2022.08.030_bib0011","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.injury.2022.08.030_bib0012","article-title":"Interobserver reliability of the Gehweiler classification and treatment strategies of isolated atlas fractures: an internet-based multicenter survey among spine surgeons","author":"Laubach","year":"2020","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"10.1016\/j.injury.2022.08.030_bib0013","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/00006123-199601000-00012","article-title":"Injuries involving the transverse atlantal ligament: classification and treatment guidelines based upon experience with 39 injuries","volume":"38","author":"Dickman","year":"1996","journal-title":"Neurosurgery"},{"issue":"1","key":"10.1016\/j.injury.2022.08.030_bib0014","first-page":"113","article-title":"Computed tomography alone versus computed tomography and magnetic resonance imaging in the identification of occult injuries to the cervical spine: a meta-analysis","volume":"68","author":"Schoenfeld","year":"2010","journal-title":"J Trauma"},{"key":"10.1016\/j.injury.2022.08.030_bib0015","doi-asserted-by":"crossref","first-page":"240","DOI":"10.11604\/pamj.2018.30.240.14000","article-title":"Survey of magnetic resonance imaging availability in West Africa","volume":"30","author":"Ogbole","year":"2018","journal-title":"Pan Afr Med J"},{"key":"10.1016\/j.injury.2022.08.030_bib0016","doi-asserted-by":"crossref","first-page":"10","DOI":"10.15761\/NMBI.1000105","article-title":"Radiography of diagnostic imaging in Latin America","volume":"1","author":"Volpi","year":"2016","journal-title":"Nucl Med Biomed Imaging"}],"container-title":["Injury"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138322005940?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138322005940?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T14:20:16Z","timestamp":1762179616000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0020138322005940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["S0020138322005940"],"URL":"https:\/\/doi.org\/10.1016\/j.injury.2022.08.030","relation":{},"ISSN":["0020-1383"],"issn-type":[{"value":"0020-1383","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The AO spine upper cervical injury classification system: Do work setting or trauma center affiliation affect classification accuracy or reliability?","name":"articletitle","label":"Article Title"},{"value":"Injury","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.injury.2022.08.030","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 AO Foundation. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}