{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:16:40Z","timestamp":1755217000240,"version":"3.43.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Introduction: The overall incidence of vertebral artery (VA) variations is 2\u20133%, but among patients with congenital anomalies at the cranio-vertebral junction, it is 20%. Knowing these anomalies is important, if failed to recognize can lead to VA injury during surgery and subsequent cerebrovascular accidents.\n\nCase Report: A 14-year-old boy presenting with progressive weakness of bilateral upper limb and lower limb was diagnosed as case of supra-axial cervical myelopathy due to congenital atlantoaxial subluxation with fenestration of VA and high-riding VA. The patient underwent posterior decompression and fusion using C1 lateral mass and C2 laminar screw rod construct.\n\nConclusion: A thorough evaluation of the anatomy of the craniovertebral joint is required in congenital pathologies, and a patient-specific treatment approach should be used. Surgical management can effectively alleviate symptoms and prevent complications, but careful consideration must be given to the risks and benefits of different surgical techniques.\n\nKeywords: Atlanto-axial subluxation, vertebral artery, cranio-vertebral junction, congenital anomaly, cervical myelopathy.<\/jats:p>","DOI":"10.13107\/jocr.2025.v15.i08.5874","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T01:45:48Z","timestamp":1754358348000},"page":"35-40","source":"Crossref","is-referenced-by-count":0,"title":["Posterior Decompression and Arthrodesis in Congenital Atlantoaxial Subluxation and Associated Complex Vertebral Artery Anomaly: A Case Report"],"prefix":"10.13107","volume":"15","author":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhil","family":"Goyal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratibha","family":"Bhatia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Radiodiagnosis, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siddharth S","family":"Sethy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitendra","family":"Chaturvedi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhaskar","family":"Sarkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pankaj","family":"Kandwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2025]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T01:45:48Z","timestamp":1754358348000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2025\/08\/01\/posterior-decompression-and-arthrodesis-in-congenital-atlantoaxial-subluxation-and-associated-complex-vertebral-artery-anomaly-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2025.v15.i08.5874","relation":{},"ISSN":["2321-3817"],"issn-type":[{"type":"electronic","value":"2321-3817"}],"subject":[],"published":{"date-parts":[[2025]]}}}