{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T20:17:24Z","timestamp":1782332244566,"version":"3.54.5"},"reference-count":13,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,2,21]],"date-time":"2014-02-21T00:00:00Z","timestamp":1392940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case report.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The recommended treatment of cervical subluxation is currently closed or open reduction. These treatments are better accomplished in the acute setting, when muscular and ligamentous laxity allows the required maneuvers to realign the dislocated segments. However, subsets of patients are still being treated subacutely. The majority of the literature addressing subacute subluxations reports treatment through \u201cfront and back\u201d approaches, many of them performed in two, three, or even four stages. Other authors recommend days or weeks of traction to reduce the subluxation, followed by anterior or posterior approaches. Herein, we present a one-stage open posterior surgical treatment of a 2-month standing C5\u2013C6 subluxation with \u201cjumped facets,\u201d describing a useful technique to reduce these challenging cases without the need of traction or multistage procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>After opening and exposing the posterior elements, we performed a wide C5\u20136 bilateral foraminotomy; we then put lateral mass screws and rods from C4 to C6. Resembling the technique used in the reduction of high-grade lumbar spondylolisthesis, we used a rod reducer to bring back the C5 screw head toward the rod, thus realigning the lateral mass screw heads and reducing the subluxation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No changes were observed in the motor evoked or somatosensory potentials during this maneuver. Following an uneventful procedure, the patient was transferred to the postanesthetic care unit and discharged 3 days later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This open single-stage posterior approach dramatically reduces operating time. This technique could be added into the decision-making armamentarium for cases without disk herniation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1055\/s-0034-1370695","type":"journal-article","created":{"date-parts":[[2014,2,21]],"date-time":"2014-02-21T18:49:33Z","timestamp":1393008573000},"page":"263-268","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["One-Stage Open Reduction of an Old Cervical Subluxation: Case Report"],"prefix":"10.1177","volume":"4","author":[{"given":"Ignacio J.","family":"Barrenechea","sequence":"first","affiliation":[{"name":"Servicio de Neurocirug\u00eda, Sanatorio Americano, Rosario (SF), Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,2,21]]},"reference":[{"key":"bibr1-s-0034-1370695","first-page":"362","volume":"97","author":"Bartels R H","year":"2002","journal-title":"J Neurosurg"},{"key":"bibr2-s-0034-1370695","first-page":"407","volume":"49","author":"Hadley M N","year":"2002","journal-title":"Clin Neurosurg"},{"key":"bibr3-s-0034-1370695","unstructured":"Lim M R Mathur S Vaccaro A R Open reduction of unilateral and bilateral facet dislocations In: Vaccaro A R Albert T J, eds. Spine Surgery: Tricks of the Trade. 2nd ed New York, NY Thieme Medical Publishers 2009 18\u201320"},{"key":"bibr4-s-0034-1370695","unstructured":"St John T A Albert T J Reduction of spondylolisthesis with pedicle screw fixation and transforaminal lumbar interbody fusion In: Haher T R Merola A A, eds. Surgical Techniques for the Spine New York, NY Thieme Medical Publishers 2003"},{"key":"bibr5-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2005.03.005"},{"key":"bibr6-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101158"},{"key":"bibr7-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B2.22963"},{"key":"bibr8-s-0034-1370695","unstructured":"Roy-Camille R Edward B Zeller R Lapresle P Les lesions traumatiques anciennes du rachis cervical inferieure In: Rachis cervical inferieure, 6mes journees d'Orthopedie de la Pitie Paris, France Masson 1988 139\u2013146"},{"key":"bibr9-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1177\/230949901101900314"},{"key":"bibr10-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0350-8"},{"key":"bibr11-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2006.04.021"},{"key":"bibr12-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B3.8496208"},{"key":"bibr13-s-0034-1370695","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173100-00014"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1055\/s-0034-1370695","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1055\/s-0034-1370695","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1055\/s-0034-1370695","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:16:00Z","timestamp":1777446960000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1055\/s-0034-1370695"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,21]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1055\/s-0034-1370695"],"URL":"https:\/\/doi.org\/10.1055\/s-0034-1370695","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,21]]}}}