{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:15:37Z","timestamp":1777659337738,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Prospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the efficacy of anterior-only approach, for treatment of type C F4 (AO classification) traumatic subaxial cervical spine injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients with type C F4 traumatic cervical injuries presenting to a tertiary center between June 2017 and July 2018 were included. Outcome measures included self-reported measures (Neck Disability Index, visual analogue scale, and return to work), radiological measures (local segmental angle, Ishihara curvature index, cervical lordosis angle, and step-off distance), fusion state, and neurological state according to American Spinal Injury Association (ASIA) Impairment Scale (AIS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-one cases were operated by anterior approach with mean age 39.1 \u00b1 13.8 years. The most common injury was at C4-5 (47.6%). Six out of 7 cases (85.7%) with preoperative neurological impairment showed late follow-up improvement by one or more grade in AIS. Complete anatomical reduction and imaging measures did not correlate significantly to the self-reported outcome measures. Median value of local segmental angle improved from \u221216\u00b0 (\u221211\u00b0 to \u221220) preoperatively to 0\u00b0 (\u22127\u00b0) to 8\u00b0) at late follow-up. The cervical lordotic angle and Ishihara curvature index improved from 35\u00b0 (29\u00b0 to 43\u00b0) and 6.92 (\u22122.7 to 28.9) preoperatively, to 44\u00b0 (33\u00b0 to 51\u00b0) and 18.7 (\u22123.5 to 26.9) at the late follow-up, respectively. Step-off distance decreased postoperatively, however; complete reduction could not be achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical treatment of lower cervical traumatic instability by anterior decompression and fusion is efficient regarding fusion state and patients\u2019 satisfaction. The anterior approach can be recommended in cases with neurological impairment and in patients with medical comorbidities or when a short operative time\u2014compared with combined approach\u2014is preferred.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2192568220903741","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T10:19:35Z","timestamp":1581502775000},"page":"312-320","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Anterior Cervical Reduction Decompression Fusion With Plating for Management of Traumatic Subaxial Cervical Spine Dislocations"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2083-7265","authenticated-orcid":false,"given":"Ahmed Shawky","family":"Abdelgawaad","sequence":"first","affiliation":[{"name":"Spine Center - Helios Klinikum Erfurt, Erfurt, Germany"},{"name":"Department of Orthopedics and Trauma, Assiut University School of Medicine, Assiut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arsany B. S.","family":"Metry","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Assiut University School of Medicine, Assiut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belal","family":"Elnady","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Assiut University School of Medicine, Assiut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Essam","family":"El Sheriff","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Assiut University School of Medicine, Assiut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,12]]},"reference":[{"key":"bibr1-2192568220903741","first-page":"309","volume":"6","author":"Singh A","year":"2014","journal-title":"Clin Epidemiol"},{"key":"bibr2-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-004-2625-5"},{"key":"bibr3-2192568220903741","unstructured":"Abuo-Kriesha AEL. Comparative Study Between Anterior and Posterior Surgical Approaches for Treatment of Cervical Spine Cord Compression [master\u2019s thesis]. Assiut, Egypt: Assiut University; 2005."},{"key":"bibr4-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-78522007000100006"},{"key":"bibr5-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2009.01.005"},{"key":"bibr6-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3831-3"},{"key":"bibr7-2192568220903741","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195840030-00009"},{"key":"bibr8-2192568220903741","doi-asserted-by":"crossref","unstructured":"Vignesh S, Pradeep B, Balasubramanian D. Early outcome of surgical intervention in sub-axial cervical spine injuries. Int J Res Med Sci. 2018;6:2308\u20132312. https:\/\/www.msjonline.org\/index.php\/ijrms\/article\/view\/5149.","DOI":"10.18203\/2320-6012.ijrms20182517"},{"key":"bibr9-2192568220903741","unstructured":"Song C, Wang K, Yu Z, Zhang L, Yang Y. Anterior decompression and internal fixation for lower cervical spine dislocation. Int J Clin Exp Med. 2016;9:4143\u20134147. https:\/\/pdfs.semanticscholar.org\/992d\/8a8358f371acacda3d0eee93b6d527e85236.pdf."},{"key":"bibr10-2192568220903741","unstructured":"Satar A, Wazir Z, Saeed M, Arif M, Inam M. Early outcome of surgical intervention in sub-axial cervical spine injuries. 28th Pak Orthocon. 2014;64:(suppl 12):S83\u2013S86. https:\/\/jpma.org.pk\/PdfDownloadsupplements\/153."},{"key":"bibr11-2192568220903741","unstructured":"Raja RA, Makhdoom A, Qureshi AA. Anterior decompression, fusion and plating in cervical spine injury: our early experience. J Ayub Med Coll Abbottabad. 2008;20:73\u201376. ayubmed.edu.pk\/JAMC\/PAST\/20-4\/Riaz.pdf."},{"key":"bibr12-2192568220903741","doi-asserted-by":"publisher","DOI":"10.3171\/SPI-07\/07\/001"},{"key":"bibr13-2192568220903741","unstructured":"Kaya RA, Kilin\u00e7 BM, M\u00fcsl\u00fcman M, T\u00fcrkmeno\u011flu O, \u00c7avuso\u011flu H, Aydin Y. Selection of the surgical approach for stabilization of sub-axial cervical spinal injuries. Turk Neurosurg. 2005;15:76\u201386. https:\/\/pdfs.semanticscholar.org\/755f\/cb526664298e59b1c8e3c1fac948a0fa394c.pdf."},{"key":"bibr14-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000151088.80797.bd"},{"key":"bibr15-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1097\/00024720-200306000-00001"},{"key":"bibr16-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000202811.03476.a0"},{"key":"bibr17-2192568220903741","first-page":"25","volume":"1","author":"Todorov I","year":"2002","journal-title":"Acta Chir Maced"},{"key":"bibr18-2192568220903741","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2000.92.1.0018"},{"key":"bibr19-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199103001-00008"},{"key":"bibr20-2192568220903741","volume-title":"Spinal Trauma","author":"Bishokarma S","year":"2016"},{"key":"bibr21-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.03.213"},{"key":"bibr22-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1589-1"},{"key":"bibr23-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218755141"},{"issue":"10","key":"bibr24-2192568220903741","first-page":"CD008129","author":"Del Curto D","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr25-2192568220903741","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1032-7"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2192568220903741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2192568220903741","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2192568220903741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:18:52Z","timestamp":1777447132000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2192568220903741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,12]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1177\/2192568220903741"],"URL":"https:\/\/doi.org\/10.1177\/2192568220903741","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,12]]}}}