{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:34Z","timestamp":1787755474082,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 59-year-old woman presented with progressively worsening neck pain and radicular symptoms. Cervical radiographs revealed C1-C2 dynamic instability. Magnetic resonance imaging and computed tomographic angiogram revealed an anomalous right vertebral artery with intracanal trajectory at C1. A unilateral left C1-C2 fusion with a C1 lateral mass screw and C2 transarticular screw placement was performed due to the anomalous artery. At 14-month follow-up, the patient's cervical symptoms had resolved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this patient with an aberrant vertebral artery who was indicated for C1-C2 fusion, a unilateral contralateral fusion with a C1 lateral mass screw and C2 transarticular screw was a satisfactory treatment option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00603","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T14:30:33Z","timestamp":1722004233000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Unilateral C1-C2 Posterior Fusion in a Patient With Right Vertebral Artery Anomaly With Intracanal Trajectory"],"prefix":"10.2106","volume":"14","author":[{"given":"Abhinav K.","family":"Sharma","sequence":"first","affiliation":[{"name":"University of California, Irvine, School of Medicine, Department of Orthopaedic Surgery, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nischal","family":"Acharya","sequence":"additional","affiliation":[{"name":"University of California, Irvine, School of Medicine, Department of Neurological Surgery, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaston","family":"Camino-Willhuber","sequence":"additional","affiliation":[{"name":"University of California, Irvine, School of Medicine, Department of Orthopaedic Surgery, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyrillos","family":"Grace","sequence":"additional","affiliation":[{"name":"University of California, Irvine, School of Medicine, Department of Orthopaedic Surgery, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin N.","family":"Bhatia","sequence":"additional","affiliation":[{"name":"University of California, Irvine, School of Medicine, Department of Orthopaedic Surgery, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7]]},"reference":[{"issue":"4","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/00002517-199212000-00012","article-title":"Primary posterior fusion C1\/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation","volume":"5","author":"Jeanneret","year":"1992","journal-title":"J Spinal Disord."},{"issue":"12","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"3607","DOI":"10.1007\/s00586-021-07015-8","article-title":"Prevalence of Vertebral artery anomaly in upper cervical and its surgical implications: a systematic review","volume":"30","author":"Lin","year":"2021","journal-title":"Eur Spine 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