{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:44Z","timestamp":1787755184204,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","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>We describe the clinical presentation, management, and outcomes of 3 patients, aged 1.5 to 4 years, with C1 synchondrosis (\u201cJefferson\u201d) fractures treated nonoperatively. Minimally widened anterior arch fractures were identified on computed tomography that were not visible on conventional radiographs. Serial imaging showed fracture healing in all patients at minimum 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These cases highlight the susceptibility of preschool-aged children to \u201cbaby Jefferson\u201d fractures through the anterior synchondroses, the importance of early computed tomography imaging when conventional radiographs are inconclusive, and the favorable outcomes of nonoperative treatment with cervical immobilization of stable, nondisplaced pediatric C1 fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00336","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T03:00:29Z","timestamp":1770606029000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["\u201cBaby\u201d Jefferson Fractures Through the C1 Synchondrosis"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6818-8345","authenticated-orcid":false,"given":"Kyung Jin","family":"Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5501-9282","authenticated-orcid":false,"given":"Zaid","family":"Elsabbagh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2934-6374","authenticated-orcid":false,"given":"Paul D.","family":"Sponseller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"suppl 42","key":"bib1-20260209","doi-asserted-by":"crossref","first-page":"S1092","DOI":"10.4103\/2152-7806.196768","article-title":"Isolated synchondrosis fracture of the atlas presenting as rotatory fixation of the neck: case report and review of literature","volume":"7","author":"Kobets","year":"2016","journal-title":"Surg Neurol Int."},{"issue":"5","key":"bib3-20260209","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.2214\/AJR.10.5403","article-title":"Ossification patterns of the atlas vertebra","volume":"197","author":"Junewick","year":"2011","journal-title":"Am J Roentgenol."},{"issue":"3","key":"bib5-20260209","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1097\/CM9.0000000000000614","article-title":"Treatment of early-onset scoliosis: techniques, indications, and complications","volume":"133","author":"Zhang","year":"2020","journal-title":"Chin Med J (Engl)."},{"issue":"5","key":"bib6-20260209","doi-asserted-by":"crossref","first-page":"452","DOI":"10.3171\/2023.12.PEDS23197","article-title":"Clinical characteristics of upper cervical spine injuries in children: a retrospective case series","volume":"33","author":"Jeong","year":"2024","journal-title":"J Neurosurg Pediatr."},{"issue":"11","key":"bib7-20260209","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.6061\/clinics\/2013(11)12","article-title":"Fractures of the cervical spine","volume":"68","author":"Marcon","year":"2013","journal-title":"Clinics (Sao Paulo)."},{"issue":"3","key":"bib8-20260209","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s12178-016-9356-5","article-title":"C1 fractures: a review of diagnoses, management options, and outcomes","volume":"9","author":"Mead","year":"2016","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"4","key":"bib9-20260209","first-page":"e14418","article-title":"Management of cervical spine fractures: a literature review","volume":"13","author":"Beeharry","year":"2021","journal-title":"Cureus."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:57Z","timestamp":1787751537000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00336"}},"subtitle":["A Report of 3 Cases"],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00336","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}