{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:39:32Z","timestamp":1756463972773,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present the case of rare extreme dislocation of subaxial cervical spine, which was challenging regarding type and time of surgery. A 22-year-old patient was injured in a traffic accident, from very beginning with signs of spinal shock. Severe traumatic C6\/C7 dislocation with resulting transection of the spinal cord was diagnosed with MDCT imaging. The main dilemmas regarding the surgical treatment of this injury referred to the timing of surgery and the choice of surgical approach. We decided to perform posterior surgery at first stage. Postoperative her condition get worsening and on the 16th postoperative day came to the fatal outcome. Despite all the available protocols, in our case, the decision had to be made on the basis of individual multidisciplinary assessment, bearing in mind the mechanism of the injury and the clinical presentation of the injured patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjae039","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T07:37:57Z","timestamp":1707291477000},"source":"Crossref","is-referenced-by-count":1,"title":["Extreme dislocation of the cervical spine\u2014case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"Slavisa","family":"Zagorac","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Belgrade , dr Subotica starijeg 8, Belgrade 11000 , Serbia"},{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milos","family":"Vasic","sequence":"additional","affiliation":[{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uros","family":"Novakovic","sequence":"additional","affiliation":[{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milos","family":"Mladenovic","sequence":"additional","affiliation":[{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Tulic","sequence":"additional","affiliation":[{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerija","family":"Teodosic","sequence":"additional","affiliation":[{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragana","family":"Vracevic","sequence":"additional","affiliation":[{"name":"Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia , Pasterova 2, Belgrade 11000 , Serbia"},{"name":"Department of Anesthesiology , Reanimation and Intensive Care, Clinic for Orthopedic Surgery and Traumatology, , Pasterova 2, Belgrade 11000 , Serbia"},{"name":"University Clinical Center of Serbia , Reanimation and Intensive Care, Clinic for Orthopedic Surgery and Traumatology, , Pasterova 2, Belgrade 11000 , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"volume-title":"StatPearls [Internet]","year":"2023 .","author":"Petrone","key":"2024020705123559200_ref1"},{"key":"2024020705123559200_ref2","doi-asserted-by":"crossref","first-page":"e194","DOI":"10.2106\/JBJS.L.01295","article-title":"Traumatic atlanto-occipital dislocation in children: evaluation, treatment, and outcomes","volume":"95","author":"Astur","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"2024020705123559200_ref3","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1016\/j.wneu.2014.02.008","article-title":"Traumatic high-grade cervical dislocation: treatment strategies and outcomes","volume":"82","author":"Sribnick","year":"2014","journal-title":"World Neurosurg"},{"key":"2024020705123559200_ref4","first-page":"e12581","article-title":"Sub-axial cervical facet dislocation: a review of current 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National Emergency X-Radiography Utilization Study Group","volume":"343","author":"Hoffman","year":"2000","journal-title":"N Engl J Med"},{"key":"2024020705123559200_ref13","first-page":"409","article-title":"Methylprednisolone therapy in acute spinal cord injuries","volume":"2","author":"Zagorac","year":"2021","journal-title":"Serbian J Med Chamb"},{"key":"2024020705123559200_ref14","doi-asserted-by":"crossref","first-page":"e32037","DOI":"10.1371\/journal.pone.0032037","article-title":"Early versus delayed decompression for traumatic cervical spinal cord injury: results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS)","volume":"7","author":"Fehlings","year":"2012","journal-title":"PloS One"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae039\/56592677\/rjae039.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae039\/56592677\/rjae039.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T07:38:04Z","timestamp":1707291484000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae039\/7601947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae039","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,2]]},"published":{"date-parts":[[2024,2]]},"article-number":"rjae039"}}