{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:50:51Z","timestamp":1777657851960,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,10,20]],"date-time":"2014-10-20T00:00:00Z","timestamp":1413763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Geriatr Orthop Surg Rehabil"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>Associated fractures of the atlas and axis are frequent, particularly in the elderly patients following a simple low-energy fall. This injury can be easily misdiagnosed on initial plain radiographs, and therefore computed tomography scan is a useful adjunct in patients with a degenerative spine. There is still no consensus as to the optimal treatment of combined axis\u2013atlas fractures, and the majority of authors propose a therapeutic strategy dependent on the odontoid fracture pattern. We describe a combined atlas and axis fracture in a 92-year-old patient who was managed with nonoperative treatment in a rigid collar. The association of C1 anterior arch with a C2 type II odontoid fracture is a rare combination, which to our knowledge has never been reported following nonoperative treatment. There was a good functional outcome at 1-year follow-up with the fracture progressing to a fibrous nonunion of the odontoid process.<\/jats:p>","DOI":"10.1177\/2151458514554083","type":"journal-article","created":{"date-parts":[[2014,10,20]],"date-time":"2014-10-20T23:33:02Z","timestamp":1413847982000},"page":"37-41","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Combined Type II Odontoid Fracture With Axis Anterior Arch Fracture"],"prefix":"10.1177","volume":"6","author":[{"given":"Francesc","family":"Malagelada","sequence":"first","affiliation":[{"name":"Department of Orhtopaedic and Trauma Surgery, Hospital de Matar\u00f3, Matar\u00f3, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saket","family":"Tibrewal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Royal London Hospital, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo A.","family":"Lucar","sequence":"additional","affiliation":[{"name":"Department of Orhtopaedic and Trauma Surgery, Hospital de Matar\u00f3, Matar\u00f3, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luckshmana","family":"Jeyaseelan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Royal London Hospital, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Fahmy","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Royal National Orthopaedic Hospital, Stanmore, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Sanchez","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Orhtopaedic and Trauma Surgery, Hospital de Matar\u00f3, Matar\u00f3, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,10,20]]},"reference":[{"key":"bibr1-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1007\/s005860000153"},{"key":"bibr2-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199003000-00004"},{"key":"bibr3-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198708000-00013"},{"key":"bibr4-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1177\/000313481408000228"},{"key":"bibr5-2151458514554083","first-page":"137","volume-title":"Cahier ens","volume":"52","author":"Judet T.","year":"1995"},{"key":"bibr6-2151458514554083","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197456080-00017"},{"issue":"1","key":"bibr7-2151458514554083","first-page":"41","volume":"19","author":"Gonz\u00e1lez T","year":"2001","journal-title":"Clin Exp Rheumatol"},{"issue":"3","key":"bibr8-2151458514554083","first-page":"S140","volume":"50","author":"Mc Cormick PC.","year":"2002","journal-title":"Neurosurgery"},{"key":"bibr9-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-004-0743-z"},{"key":"bibr10-2151458514554083","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.70.1.0045"},{"key":"bibr11-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2007.07.001"},{"issue":"2","key":"bibr12-2151458514554083","first-page":"139","volume":"91","author":"Guiot B","year":"1991","journal-title":"J Neurosug"},{"key":"bibr13-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-004-0205-7"},{"key":"bibr14-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318276ee55"},{"key":"bibr15-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318286f0cf"},{"key":"bibr16-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31818d5407"},{"key":"bibr17-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B8.14839"},{"key":"bibr18-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-2069-y"},{"issue":"26","key":"bibr19-2151458514554083","first-page":"2240","volume":"38","author":"Smith JS","year":"2013","journal-title":"Spine (Phila Pa 1976)"},{"key":"bibr20-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e31823e99e4"},{"key":"bibr21-2151458514554083","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2009.108"},{"key":"bibr22-2151458514554083","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759070-00018"}],"container-title":["Geriatric Orthopaedic Surgery &amp; 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