{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:44Z","timestamp":1787755604063,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a unique case of compressive myelopathy caused by late kyphosis angulation of a previously operated dens base fracture nonunion challenged by age-related ankyloses of the lateral articulations C1 to C2 and a solid posterior fusion mass.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Posterior column shortening such as commonly practiced for progressive kyphosis or myelopathy may be precluded at the atlantoaxial level for potential vascular risk to the vertebral artery. A standard anterior cervical approach and the application of basic surgical spine care principles lead to a simple solution in the unique and highly complex anatomy of our case.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00086","type":"journal-article","created":{"date-parts":[[2019,5,16]],"date-time":"2019-05-16T06:46:21Z","timestamp":1557989181000},"page":"e0086-e0086","source":"Crossref","is-referenced-by-count":0,"title":["C2 Vertebral Corpectomy for Kyphosis Malunion of Remote Dens Fracture with Atlantoaxial Ankylosis and Myelopathy"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3059-7149","authenticated-orcid":false,"given":"Drew A.","family":"Bednar","sequence":"first","affiliation":[{"name":"Orthopedic Surgery\/Spine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,4]]},"reference":[{"issue":"A","key":"bib1-20230712","first-page":"631","article-title":"Surgical approaches to the vertebral bodies in the cervical and lumbar regions","volume":"39","author":"Southwick","year":"1976","journal-title":"J Bone Joint Surg."},{"issue":"2","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1017\/S0317167100016784","article-title":"Inflatable device for intraoperative control cervical extension in cervical surgery","volume":"41","author":"Alsunbul","year":"2014","journal-title":"Can J Neurol Sci."},{"issue":"11","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"E720","DOI":"10.1097\/BRS.0b013e3181f9f714","article-title":"Impact of the O-C2 angle on the oropharyngeal space in normal patients","volume":"36","author":"Ota","year":"2011","journal-title":"Spine."},{"issue":"1","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1097\/BSD.0b013e318198164b","article-title":"Measurement of a posterior occipitocervical fusion angle","volume":"23","author":"Riel","year":"2010","journal-title":"J Spinal Disord Tech."},{"issue":"11","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.2106\/00004623-200411000-00024","article-title":"Pseudoarthrosis of a thirty-nine-year-old dens fracture causing myelopathy\u2014a case report","volume":"86-A","author":"Rudzki","year":"2004","journal-title":"J Bone Joint Surg."},{"issue":"1","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/00006123-199601000-00010","article-title":"Fractured odontoid: the management of delayed neurological symptoms","volume":"38","author":"Fairholm","year":"1996","journal-title":"Neurosurgery."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201906000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:49Z","timestamp":1787751889000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201906000-00008"}},"subtitle":["A Case Report at 15 Years of Follow-Up"],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":6,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00086","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}