{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T17:03:51Z","timestamp":1765472631060,"version":"3.48.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Multicenter retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To analyze a multicenter cohort of patients who underwent surgical treatment for C7\u2013T1 traumatic injuries, focusing on their surgical approach and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary of Background Data:<\/jats:title>\n                    <jats:p>C7\u2013T1 injuries are rare and biomechanically complex, with limited evidence guiding optimal surgical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis of patients with surgically treated C7\u2013T1 traumatic injuries from 13 Latin American Institutions (2014\u20132023) was conducted. Demographic and clinical data was collected, with a focus on morbidity and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among a multicenter database of 545 unstable cervical fractures, 55 (10%) involved the C7\u2013T1 segment. Patients were predominantly male (n=41; 73.2%), with a mean age of 43.2 years (SD). Falls (n=28; 50%) and traffic accidents (n=20; 35.7%) were the leading causes. Neurological deficit was the rule (63.6%). Surgical approaches included single-posterior (44.6%), single-anterior (30.4%), and combined (23.2%). Surgery was performed within 24 hours in 33.9% of cases. Early complications occurred in 17.9%, with pneumonia and surgical site infections being the most common. Complications correlated with longer hospital stays (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.029) and associated injuries (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.028) but not with surgical delay (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.256) or approach (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.380).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>C7\u2013T1 injuries are challenging to manage, with posterior approaches most frequently used and anterior-only techniques reserved for fractures without translation. Early complications were common and prolonged hospitalization. Their occurrence appeared to be independent of the surgical approach used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/bsd.0000000000001978","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T17:00:18Z","timestamp":1765472418000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic Injuries at the Cervicothoracic Junction"],"prefix":"10.1097","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6959-9301","authenticated-orcid":false,"given":"Guillermo","family":"Ricciardi","sequence":"first","affiliation":[{"name":"Orthopedics and Traumatology Spine Unit, Centro M\u00e9dico Integral Fitz Roy, Sanatorio G\u00fcemes and Hospital General de Agudos Dr. T. \u00c1lvarez, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guisela","family":"Quinteros","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Spine Unit, Cl\u00ednica Alemana, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Cirillo","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Spine Unit, Hospital del Trabajador, Cl\u00ednica Universidad de los Andes y Universidad del Andr\u00e9s Bello, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan P.","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Cl\u00ednico Regional de Concepci\u00f3n y Facultad de Medicina, Universidad de Concepci\u00f3n, Concepci\u00f3n, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Marquez Garc\u00eda","sequence":"additional","affiliation":[{"name":"Orthopedics and 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