{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:52:59Z","timestamp":1792515179018,"version":"4.5.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[1991,9,1]],"date-time":"1991-09-01T00:00:00Z","timestamp":683683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1991,9]]},"abstract":"<jats:p> High definition computed cervical myelograms have been made in flexion and extension in 13 patients with Morquio-Brailsford's disease. We observed that: 1) odontoid dysplasia was present in every case, with a hypoplastic dens and a detached distal portion which was not always ossified; 2) atlanto-axial instability was mild, and anterior atlanto-axial subluxation was absent in most cases; 3) severe spinal cord compression, when present, was due to anterior extradural soft-tissue thickening; 4) this compression was not relieved by flexing or extending the neck and was manifested early in life; 5) posterior occipitocervical fusion resulted in disappearance of the soft-tissue thickening and normalisation of subsequent development of the dens. We conclude that the severity of neurological involvement at the craniovertebral junction was determined by soft-tissue changes, not by the type of odontoid dysplasia nor by subluxation. Posterior occipitocervical fusion proved to be an effective treatment. <\/jats:p>","DOI":"10.1302\/0301-620x.73b5.1910048","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:57:04Z","timestamp":1519214224000},"page":"851-858","source":"Crossref","is-referenced-by-count":109,"title":["The odontoid process in Morquio-Brailsford's disease. The effects of occipitocervical fusion"],"prefix":"10.1302","volume":"73-B","author":[{"given":"JM","family":"Stevens","sequence":"first","affiliation":[{"name":"National Hospital for Neurology and Neurosurgery, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BE","family":"Kendall","sequence":"additional","affiliation":[{"name":"National Hospital for Neurology and Neurosurgery, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HA","family":"Crockard","sequence":"additional","affiliation":[{"name":"National Hospital for Neurology and Neurosurgery, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Ransford","sequence":"additional","affiliation":[{"name":"National Hospital for Neurology and Neurosurgery, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.73B5.1910048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.73B5.1910048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:42:48Z","timestamp":1629139368000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.73B5.1910048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,9]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1991,9]]}},"alternative-id":["10.1302\/0301-620X.73B5.1910048"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.73b5.1910048","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,9]]}}}