{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:07:20Z","timestamp":1789718840787,"version":"4.0.1"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[1999,5,1]],"date-time":"1999-05-01T00:00:00Z","timestamp":925516800000},"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":[[1999,5]]},"abstract":"<jats:p> We have reviewed 81 patients with fractures of the odontoid process treated between May 1983 and July 1997, by anterior screw fixation. <\/jats:p><jats:p> There were 29 patients with Anderson and D\u2019Alonzo type-II fractures and 52 with type III. Roy-Camille\u2019s classification identified the direction and instability of the fracture. Operative fixation was carried out on 48 men and 33 women with a mean age of 57 years. Associated injuries of the cervical spine were present in 15 patients, neurological signs in 13, and 18 had an Injury Severity Score of more than 15. Nine patients died and 11 were lost to follow-up. Of 61 patients, 56 (92%) achieved bony union at an average of 14.1 weeks. Two patients required a secondary posterior fusion after failure of the index operation. A full range of movement was restored in 43 patients; only six had a limitation of movement greater than 25%. <\/jats:p><jats:p> We conclude that anterior screw fixation is effective and practicable in the treatment of fractures of the dens. <\/jats:p>","DOI":"10.1302\/0301-620x.81b3.0810472","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:51:16Z","timestamp":1519213876000},"page":"472-477","source":"Crossref","is-referenced-by-count":139,"title":["Fixation of odontoid fractures by an anterior screw"],"prefix":"10.1302","volume":"81-B","author":[{"given":"A. D.","family":"Henry","sequence":"first","affiliation":[{"name":"Royal Manchester Children\u2019s Hospital, Hospital Road, Manchester M27 4HA, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Bohly","sequence":"additional","affiliation":[{"name":"Centre de Traumatologie et d\u2019Orthop\u00e9die, 10 Avenue Baumann, F-67400 Illkirch Graffenstaden, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Grosse","sequence":"additional","affiliation":[{"name":"Centre de Traumatologie et d\u2019Orthop\u00e9die, 10 Avenue Baumann, F-67400 Illkirch Graffenstaden, France."}],"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.81B3.0810472","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.81B3.0810472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:22:57Z","timestamp":1629141777000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.81B3.0810472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,5]]},"references-count":0,"aliases":["10.1302\/0301-620x.81b3.9109","10.1302\/0301-620x.81b3.9109"],"journal-issue":{"issue":"3","published-print":{"date-parts":[[1999,5]]}},"alternative-id":["10.1302\/0301-620X.81B3.0810472"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.81b3.0810472","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,5]]}}}