{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:04:55Z","timestamp":1752537895987,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This case report describes a traumatic C2\u2013C3 subluxation caused by a motorcycle accident following cervical spinal surgery. Traumatic C2\u2013C3 subluxation is an uncommon but serious injury frequently accompanied by considerable neurological deficits. The coexistence of vascular injuries, particularly bilateral carotid artery dissection, complicates the management of such cases. We report a 48-year-old male patient who experienced a C2\u2013C3 subluxation concurrent with bilateral carotid artery dissection and left vertebral artery occlusion as a result of a high-velocity motorcycle accident. The patient underwent surgical stabilization through a posterior cervical approach, followed by endovascular intervention to address the vascular injuries. This case emphasizes the complexities inherent in managing simultaneous spinal and vascular trauma. It underscores the necessity of a customized, multidisciplinary approach to enhance patient outcomes in these challenging scenarios.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf497","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T09:36:27Z","timestamp":1752485787000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of traumatic C2\u2013C3 subluxation with bilateral carotid artery dissection"],"prefix":"10.1093","volume":"2025","author":[{"given":"Vinicius R","family":"Ferraz","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, The Regional Hospital of S\u00e3o Jos\u00e9 dos Campos - Dr. Rubens Savastano, Rua Goi\u00e2nia , 345, Parque Industrial, S\u00e3o Jos\u00e9 dos Campos, S\u00e3o Paulo , 12210-000,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo O C S","family":"Furlan","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Pontifical Catholic University of Paran\u00e1 , Rua Imaculada Concei\u00e7\u00e3o 1155, Prado Velho, Curitiba, Paran\u00e1 , 80215-901,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heber M","family":"Vieira","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Regional Hospital of S\u00e3o Jos\u00e9 dos Campos - Dr. Rubens Savastano , Rua Goi\u00e2nia, 345, Parque Industrial, S\u00e3o Jos\u00e9 dos Campos, S\u00e3o Paulo , 12210-000,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar M","family":"Yukita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Regional Hospital of S\u00e3o Jos\u00e9 dos Campos - Dr. Rubens Savastano, Rua Goi\u00e2nia , 345, Parque Industrial, S\u00e3o Jos\u00e9 dos Campos, S\u00e3o Paulo , 12210-000,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"2025071405362171600_ref4","doi-asserted-by":"publisher","first-page":"e5538","DOI":"10.7759\/cureus.5538","article-title":"C2-3 fracture dislocation and bilateral vertebral artery occlusion without neurological injury: a case report","volume":"11","author":"Kiessling","year":"2019","journal-title":"Cureus"},{"key":"2025071405362171600_ref1","doi-asserted-by":"publisher","first-page":"108814","DOI":"10.1016\/j.ijscr.2023.108814","article-title":"Traumatic C2-C3 subluxation with atlanto-axial dislocation managed by posterior approach - a rare case report","volume":"111","author":"Amin","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"2025071405362171600_ref2","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1038\/s41394-019-0150-7","article-title":"C2-C3 spinal fracture subluxation with ligamentous and vascular injury: a case report and review of management","volume":"5","author":"Alexander","year":"2019","journal-title":"Spinal Cord Ser Cases"},{"key":"2025071405362171600_ref5","doi-asserted-by":"publisher","first-page":"454","DOI":"10.14444\/8445","article-title":"Surgical management of hangman\u2019s fracture: a systematic review","volume":"17","author":"Mahmoud","year":"2023","journal-title":"Int J Spine Surg"},{"key":"2025071405362171600_ref3","doi-asserted-by":"publisher","first-page":"e7229","DOI":"10.7759\/cureus.7225","article-title":"Vertebral artery injury with coinciding unstable cervical spine trauma: mechanisms, evidence-based management, and treatment options","volume":"12","author":"Merrill","year":"2020","journal-title":"Cureus"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf497\/63742523\/rjaf497.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf497\/63742523\/rjaf497.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T09:36:27Z","timestamp":1752485787000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf497\/8198747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf497","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf497"}}