{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:12Z","timestamp":1787755152182,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,3,8]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      We present a case of brachytelephalangic chondrodysplasia punctata with a severe atlantoaxial dislocation in an underdeveloped child. The patient underwent halo jacket application using 10 halo pins with &lt;1 lb\/in\n                      <jats:sup>2<\/jats:sup>\n                      of torque, followed by posterior occipitocervical fusion with onlay rib and iliac autografts. After bone grafts and replacement of the halo ring multiple times, successful osseous fusion had been achieved by the 2-year follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although simple bone-grafting with a halo jacket is useful in underdeveloped patients with skeletal dysplasia, the complications related to halo fixation, including cranial bone perforation, and the patient\u2019s neurological status must be carefully monitored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00121","type":"journal-article","created":{"date-parts":[[2017,2,25]],"date-time":"2017-02-25T16:44:11Z","timestamp":1488041051000},"page":"e16","source":"Crossref","is-referenced-by-count":1,"title":["Occipitocervical Fusion for Severe Atlantoaxial Dislocation in an Underdeveloped Child with Chondrodysplasia Punctata"],"prefix":"10.2106","volume":"7","author":[{"given":"Yuki","family":"Tanaka","sequence":"first","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.T., K.W., K.K., M.O., and T.H.) and Pediatrics (K.N.), Niigata University Medical and Dental General Hospital, Niigata City, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.T., K.W., K.K., M.O., and T.H.) and Pediatrics (K.N.), Niigata University Medical and Dental General Hospital, Niigata City, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichi","family":"Katsumi","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.T., K.W., K.K., M.O., and T.H.) and Pediatrics (K.N.), Niigata University Medical and Dental General Hospital, Niigata City, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Ohashi","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.T., K.W., K.K., M.O., and T.H.) and Pediatrics (K.N.), Niigata University Medical and Dental General Hospital, Niigata City, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Nagasaki","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.T., K.W., K.K., M.O., and T.H.) and Pediatrics (K.N.), Niigata University Medical and Dental General Hospital, Niigata City, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Hirano","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.T., K.W., K.K., M.O., and T.H.) and Pediatrics (K.N.), Niigata University Medical and Dental General Hospital, Niigata City, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1002\/ajmg.a.20009","article-title":"Natural history of rhizomelic chondrodysplasia punctata","volume":"118A","author":"White","year":"2003","journal-title":"Am J Med Genet A."},{"issue":"3","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1038\/10350","article-title":"Mutations in a delta 8-delta 7 sterol isomerase in the tattered mouse and X-linked dominant chondrodysplasia punctata. jderry@immunex.com","volume":"22","author":"Derry","year":"1999","journal-title":"Nat Genet."},{"issue":"1","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/0092-8674(95)90367-4","article-title":"A cluster of sulfatase genes on Xp22.3: mutations in chondrodysplasia punctata (CDPX) and implications for warfarin embryopathy","volume":"81","author":"Franco","year":"1995","journal-title":"Cell."},{"issue":"2","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/S0929-693X(00)00181-0","article-title":"[X-linked recessive chondrodysplasia punctata. 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