{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:35:43Z","timestamp":1789799743433,"version":"4.0.1"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Spontaneous anterior arch fracture of the atlas after a C1 laminectomy (CIL) is an extremely rare complication.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 72-year-old male presented with the sudden onset of neck pain. His prior history included; a CIL for atlantoaxial subluxation, shunt closure for a spinal dural arteriovenous fistula at C3, a cervical laminoplasty from C3 to C6 for stenosis, and a prior anterior C4\/5 and C5\/6 fusion 14 years ago. Once the computed tomography documented a right C1 anterior arch fracture, and occipital-cervical fusion was performed utilizing C2 laminar screws and C4 pedicle screws with halo-vest placement. Postoperatively, the neck pain resolved and he remained stable.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Neurosurgeons should be aware of the risk of anterior arch fractures following a CIL and may alternatively consider a C1 laminoplasty in the future.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_254_2023","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T07:10:18Z","timestamp":1682061018000},"page":"136","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case of anterior arch fracture of the atlas associated with C1 laminectomy"],"prefix":"10.25259","volume":"14","author":[{"given":"Toshinari","family":"Kawasaki","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Otsu Hospital, Otsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohiro","family":"Takayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Otsu Hospital, Otsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Maki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hikone Chuo Hospital, Hikone, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kota","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamaki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Otsu Hospital, Otsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Saiki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Otsu Hospital, Otsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiko","family":"Ioroi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Otsu Hospital, Otsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"10.25259\/SNI_254_2023\/ref-1","doi-asserted-by":"crossref","first-page":"138","DOI":"10.4103\/2152-7806.85979","article-title":"Spontaneous C1 anterior arch fracture as a postoperative complication of foramen magnum decompression for Chiari malformation Type 1","volume":"2","author":"Hirano","year":"2011","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_254_2023\/ref-2","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1227\/01.NEU.0000366108.02499.8F","article-title":"Atlas fractures","volume":"66","author":"Kakarla","year":"2010","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_254_2023\/ref-3","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1097\/BRS.0000000000002402","article-title":"Incidence and risk factors of anterior arch fracture of the atlas following C1 laminectomy without fusion","volume":"43","author":"Shimizu","year":"2018","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_254_2023\/ref-4","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.jos.2016.02.008","article-title":"Spontaneous anterior arch fracture of the atlas following C1 laminectomy without fusion: A report of three cases and finite element analysis","volume":"21","author":"Shimizu","year":"2016","journal-title":"J Orthop Sci"},{"key":"10.25259\/SNI_254_2023\/ref-5","doi-asserted-by":"crossref","first-page":"459","DOI":"10.31616\/asj.2019.0190","article-title":"Radiographic and clinical results of C1 laminoplasty for the treatment of compressive myelopathy","volume":"14","author":"Tarukado","year":"2020","journal-title":"Asian Spine J"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-case-of-anterior-arch-fracture-of-the-atlas-associated-with-c1-laminectomy\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-anterior-arch-fracture-of-the-atlas-associated-with-c1-laminectomy\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T07:10:21Z","timestamp":1682061021000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-anterior-arch-fracture-of-the-atlas-associated-with-c1-laminectomy\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,14]]},"references-count":5,"alternative-id":["10.25259\/SNI_254_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_254_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4,14]]},"article-number":"136"}}