{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:32:48Z","timestamp":1787009568492,"version":"build-2736575974"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Osteoarthrosis of the lateral atlanto-axial joint (LAAJ) may be a cause of upper neck pain and headache. Intra-articular injection of steroids may provide only short-lasting relief. For intractable pain, arthrodesis of the joint might be considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the success rates of arthrodesis of the lateral atlanto-axial joint for relieving neck pain and disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Practice audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Private practice of senior author.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>Prospective series of 23 consecutive patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Outcomes were measured using a numerical rating scale for neck pain, and the Neck Disability Index for disability. Success rates were calculated for various degrees of improvement of neck pain at long-term follow-up (8\u201340\u2009months), and for achieving various combinations of improvement of both neck pain and disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Complete relief of pain was achieved in 40% of patients, with a further 40% achieving at least 50% relief. At long-term follow-up, 30% of patients had no neck pain and no disability, and a further 25% had only minimal pain, minimal disability, or both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present study did not corroborate earlier studies that claimed outstanding outcomes for arthrodesis of the LAAJ, but its outcomes are consonant with more recent studies that provided transparent outcome data. These studies provide Pain Physicians with empirical data on success rates and outcomes, upon which they can base their consideration of referral for arthrodesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pm\/pnad153","type":"journal-article","created":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T09:55:55Z","timestamp":1700214955000},"page":"203-210","source":"Crossref","is-referenced-by-count":7,"title":["Athrodesis of the lateral atlanto-axial joint for the relief of neck pain and cervicogenic headache"],"prefix":"10.1093","volume":"25","author":[{"given":"Richard D","family":"Ferch","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, John Hunter Hospital , Newcastle, NSW 2305,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyson","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, John Hunter Hospital , Newcastle, NSW 2305,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9051-0332","authenticated-orcid":false,"given":"Nikolai","family":"Bogduk","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health, The University of Newcastle , Newcastle, NSW 2308,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"issue":"10","key":"2025082211564749800_pnad153-B1","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/S1474-4422(09)70209-1","article-title":"Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment","volume":"8","author":"Bogduk","year":"2009","journal-title":"Lancet Neurol"},{"issue":"6","key":"2025082211564749800_pnad153-B2","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1093\/pm\/pnaa469","article-title":"Sources of cervicogenic headache among the upper cervical synovial joints","volume":"23","author":"Govind","year":"2022","journal-title":"Pain Med"},{"issue":"4","key":"2025082211564749800_pnad153-B3","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1111\/j.1526-4637.2006.00201.x","article-title":"Cervical zygapophysial joint pain maps","volume":"8","author":"Cooper","year":"2007","journal-title":"Pain Med"},{"issue":"suppl 6","key":"2025082211564749800_pnad153-B4","doi-asserted-by":"crossref","first-page":"S71","DOI":"10.1097\/00007632-199206001-00002","article-title":"Atlantoaxial lateral mass osteoarthritis. 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