{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:44:24Z","timestamp":1762994664613,"version":"3.45.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg Rep"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To present a low-cost posterior cervical fixation technique using sublaminar wiring for the management of a comminuted odontoid fracture (type IIA) in a young, neurologically intact patient, emphasizing its relevance in low-resource environments where advanced instrumentation is inaccessible.<\/jats:p>\n                  <jats:p>A 21-year-old male sustained a comminuted fracture of the odontoid process of C2 following a high-impact motorcycle accident. Upon admission, he was alert, fully oriented, and neurologically intact. Imaging revealed a comminuted type IIA odontoid fracture without displacement. Due to the patient's economic limitations and the unsuitability of the fracture for anterior fixation, a posterior approach using double sublaminar wiring between C1 and C2 with autologous iliac crest bone graft was performed.<\/jats:p>\n                  <jats:p>The procedure was successfully completed with no intraoperative or postoperative complications. The patient was discharged on postoperative day 2 and demonstrated excellent recovery. Follow-up imaging at 3 months confirmed over 90% fracture consolidation. Imaging at 6 months was requested but not obtained due to loss of follow-up. Functional recovery was complete, with only a partial reduction in cervical range of motion as expected with C1\u2013C2 fusion.<\/jats:p>\n                  <jats:p>Sublaminar wiring offers a safe, effective, and affordable alternative for posterior fixation of comminuted odontoid fractures, particularly in young patients and in settings where access to advanced spinal instrumentation is limited.<\/jats:p>","DOI":"10.1055\/a-2731-4673","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T23:47:37Z","timestamp":1761608857000},"page":"e225-e229","source":"Crossref","is-referenced-by-count":0,"title":["Low-cost Posterior C1\u2013C2 Fusion Using Sublaminar Wiring in Neurologically Intact Young Patient with Type IIA Odontoid Fracture: A Resource-oriented Approach"],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3718-9583","authenticated-orcid":false,"given":"Carlos","family":"Novondo","sequence":"additional","affiliation":[{"name":"Neurocirug\u00eda, Hospital Dr. Mario Catarino Rivas, San Pedro Sula, Cort\u00e9s, Honduras"},{"name":"Neurocirug\u00eda, Hospital Militar del Norte, San Pedro Sula, Cort\u00e9s, Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4183-9104","authenticated-orcid":false,"given":"C\u00e9sar","family":"Alas-Pineda","sequence":"additional","affiliation":[{"name":"Quantitative Biomedical Sciences, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2341-576X","authenticated-orcid":false,"given":"Anahi Gisselle","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Facultad de Medicina y Cirug\u00eda, Universidad Cat\u00f3lica de Honduras - Campus San Pedro y San Pablo, San Pedro Sula, Cort\u00e9s, Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8667-4935","authenticated-orcid":false,"given":"Clarisa L.","family":"Reyes-Guardado","sequence":"additional","affiliation":[{"name":"Facultad de Medicina y Cirug\u00eda, Universidad Cat\u00f3lica de Honduras - Campus San Pedro y San Pablo, San Pedro Sula, Cort\u00e9s, Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9124-194X","authenticated-orcid":false,"given":"Kristhel","family":"Gait\u00e1n-Zambrano","sequence":"additional","affiliation":[{"name":"Facultad de Medicina y Cirug\u00eda, Universidad Cat\u00f3lica de Honduras - Campus San Pedro y San Pablo, San Pedro Sula, Cort\u00e9s, Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"697","DOI":"10.3171\/2011.1.SPINE10612","article-title":"Ligaments of the craniocervical junction","volume":"14","author":"R S Tubbs","year":"2011","journal-title":"J Neurosurg Spine"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"e544","DOI":"10.31434\/rms.v6i1.544","article-title":"Fractura de odontoides y tipos de tratamiento quir\u00fargicos","volume":"6","author":"L San Lee Ruiz","year":"2021","journal-title":"Rev M\u00e9d Sinergia"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"265","DOI":"10.3171\/2013.12.SPINE12448","article-title":"Simultaneous anterior and posterior screw fixations confined to the axis for stabilization of a 3-part fracture of the axis (odontoid, dens, and hangman fractures): report of 2 cases","volume":"20","author":"J Shinbo","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"8321680","DOI":"10.1155\/2017\/8321680","article-title":"C2 fracture subtypes, incidence, and treatment allocation change with age: a retrospective cohort study of 233 consecutive cases","volume":"2017","author":"A L Robinson","year":"2017","journal-title":"BioMed Res Int"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/BSD.0000000000000872","article-title":"Odontoid fractures","volume":"32","author":"A D Carvalho","year":"2019","journal-title":"Clin Spine Surg"},{"issue":"24","key":"ref6","doi-asserted-by":"crossref","first-page":"E1403","DOI":"10.1097\/BRS.0000000000000609","article-title":"Odontoid fracture biomechanics","volume":"39","author":"P C Ivancic","year":"2014","journal-title":"Spine"},{"issue":"09","key":"ref7","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.2106\/00004623-198567090-00006","article-title":"Fractures of the dens. A multicenter study","volume":"67","author":"C R Clark","year":"1985","journal-title":"J Bone Joint Surg Am"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.otsr.2013.02.007","article-title":"Unstable odontoid fracture: surgical strategy in a 22-case series, and literature review","volume":"99","author":"C Steltzlen","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/S0482-5985(05)74456-4","article-title":"Fracturas del axis","volume":"49","author":"D S Korres","year":"2005","journal-title":"Revista de Ortopedia y Traumatolog\u00eda"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"249","DOI":"10.5604\/01.3001.0053.9673","article-title":"Outcomes of odontoid process fracture surgery","volume":"25","author":"D Sowa","year":"2023","journal-title":"Ortop Traumatol Rehabil"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.12688\/f1000research.9131.2","article-title":"Anterior single odontoid screw placement for type II odontoid fractures: our modified surgical technique and initial results in a cohort study of 15 patients","volume":"5","author":"S Munakomi","year":"2016","journal-title":"F1000 Res"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"908","DOI":"10.14444\/7139","article-title":"Fractures of C2 (axis) vertebra: clinical presentation and management","volume":"14","author":"A Bakhsh","year":"2020","journal-title":"Int J Spine Surg"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/00000658-191002000-00004","article-title":"IV. 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