{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:55:15Z","timestamp":1761807315936},"reference-count":17,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2006,11,1]],"date-time":"2006-11-01T00:00:00Z","timestamp":1162339200000},"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":[[2006,11]]},"abstract":"<jats:p> Traumatic atlanto-occipital dislocation in adults is usually fatal and survival without neurological deficit is rare. The surgical management of those who do survive is difficult and controversial. Most authorities recommend posterior occipitoaxial fusion, but this compromises cervical rotation. We describe a case in which a patient with a traumatic atlanto-occipital disruption but no neurological deficit was treated by atlanto-occipital fusion using a new technique consisting of cancellous bone autografting supported by an occipital plate linked by rods to lateral mass screws in the atlas. The technique is described in detail. At one year the neck was stable, radiological fusion had been achieved, and atlantoaxial rotation preserved. <\/jats:p><jats:p> The rationale behind this approach is discussed and the relevant literature reviewed. We recommend the technique for injuries of this type. <\/jats:p>","DOI":"10.1302\/0301-620x.88b11.18082","type":"journal-article","created":{"date-parts":[[2006,10,30]],"date-time":"2006-10-30T22:33:02Z","timestamp":1162247582000},"page":"1464-1468","source":"Crossref","is-referenced-by-count":20,"title":["Traumatic occipitocervical disruption: a new technique for stabilisation"],"prefix":"10.1302","volume":"88-B","author":[{"given":"A. J.","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Spinal Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. M.","family":"Towns","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Chiverton","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200203001-00018"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-200106000-00001"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Wertheim SB, Bohlman HH. 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Stable posterior fusion of the atlas and axis by transarticular screw fixation. In: Kehr P, Weindner A, eds. Cervical spine I. New York: Springer-Verlag, 1986:322\u20137.","DOI":"10.1007\/978-3-7091-8882-8_59"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199608010-00001"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-200112000-00006"}],"container-title":["The Journal of Bone and Joint Surgery. 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