{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:21:45Z","timestamp":1785320505871,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T00:00:00Z","timestamp":1552867200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2019,3,18]]},"abstract":"<jats:p>Traumatic atlantoaxial dislocation due to ligamentous and combined osseous injuries rarely occurs in adults. There are only few cases published in the literature. In this level 4 study, a cohort of nine consecutive patients suffering from traumatic atlantoaxial dislocation has been analyzed regarding morphology of injury, trauma mechanism, and outcome since 2007. Three types of those injuries have been found regarding direction of dislocation indicating the underlying ligamentous injuries as well as the accompanying grade of instability. Firstly, there was rotatory dislocation, if the alar ligaments were injured. Secondly, there occurred horizontal dislocation, when transverse atlantal ligament was damaged additionally. Thirdly, excessive ligamentous injury led to distraction of the atlantoaxial complex resulting in dissociation of the atlas against the axis. Additionally fractures of the atlas as well as of the odontoid process (type II or III according to Anderson\/D\u2019Alonzo) were diagnosed frequently. Atlantoaxial dislocation injuries, especially distraction injuries, offer a high risk for accompanied neurovascular disorders deserving reduction followed by surgical fixation. Only rotatory injuries leading to ligamentous damage solitarily can safely be successfully treated conservatively. Understanding of the injuries\u2019 morphology is essential, in order to set the correct diagnosis and to implicate the most advantageous treatment regime.<\/jats:p>","DOI":"10.1155\/2019\/5297950","type":"journal-article","created":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T19:41:32Z","timestamp":1552938092000},"page":"1-9","source":"Crossref","is-referenced-by-count":19,"title":["Traumatic Atlantoaxial and Fracture-Related Dislocation"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1498-4827","authenticated-orcid":true,"given":"Carolin","family":"Meyer","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peer","family":"Eysel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Spine and Trauma Surgery, Helios Klinikum Siegburg, Siegburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199402000-00015"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.2.1750540"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.013045"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200104010-00027"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199509000-00016"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.84.4.0666"},{"issue":"5","key":"7","first-page":"451","volume":"10","year":"1997","journal-title":"Journal of Spinal Disorders & Techniques"},{"key":"9","year":"1990"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860080-00015"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1080\/02688690802351042"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200111150-00014"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1520\/JFS13263J"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-5949.2012.00376.x"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/978-88-470-5232-1"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20559"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.3171\/2011.1.spine10612"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1148\/rg.347130094"},{"issue":"5","key":"18","first-page":"698","volume":"68","year":"1986","journal-title":"The Journal of Bone & Joint Surgery (British Volume)"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2014.8"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1148\/rg.286085521"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/6131703"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2009.11.025"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1991.75.2.0221"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217744786"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199410150-00010"},{"key":"26","first-page":"322","volume-title":"Stable posterior fusion of the atlas and axis by transarticular screw fixation","year":"1987"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1097\/00024720-200404000-00014"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.SPINE13805"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2009.10.008"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/5297950.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/5297950.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/5297950.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T19:41:34Z","timestamp":1552938094000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2019\/5297950\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,18]]},"references-count":29,"alternative-id":["5297950","5297950"],"URL":"https:\/\/doi.org\/10.1155\/2019\/5297950","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,18]]}}}