{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T22:14:02Z","timestamp":1648851242033},"reference-count":7,"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>Jefferson fractures are burst fractures involving both the anterior and posterior arches of C1. They typically result from axial compression or hyperextension injuries. Most are stable, and neurological deficits are rare. They are often successfully treated with external immobilization, but require surgery (e.g., fusion\/ stabilization).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>An 89-year-old male presented with a left-sided hemiplegia following a trivial fall. The cervical computed tomography scan revealed a left-sided displaced comminuted C1 fracture involving the arch and lateral mass. The MR revealed posterior cord compression and focal myelomalacia. Six months following an emergent C1\u2013C3 decompression with occiput to C4 instrumented fusion, the patient was neurologically intact and pain-free.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>An 89-year-old male presented with a left-sided hemiplegia due to a Type 3\/4 C1 Jefferson fracture. Following posterior C1\u2013C3 surgical decompression with C0\u2013C4 instrumented fusion, the patient sustained a complete bilateral motor recovery.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_479_2020","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T07:00:19Z","timestamp":1608620419000},"page":"449","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hemiparesis resulting from an unusual C1 fracture: A case report and literature review"],"prefix":"10.25259","volume":"11","author":[{"given":"Sung-Joo","family":"Yuh","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hopital Maisonneuve-Rosemont, Qu\u00e9bec, Canada."},{"name":"Department ofNeurosurgery, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghassan","family":"Boubez","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Shedid","sequence":"additional","affiliation":[{"name":"Department ofNeurosurgery, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"10.25259\/SNI_479_2020\/ref-1","doi-asserted-by":"crossref","first-page":"466","DOI":"10.3171\/2009.1.SPINE08708","article-title":"Unilateral C-1 lateral mass sagittal split fracture: An unstable Jefferson fracture variant","volume":"10","author":"Bransford","year":"2009","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_479_2020\/ref-2","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1007\/s11999-008-0143-5","article-title":"Case report: Nonoperative treatment of an unstable Jefferson fracture using a cervical collar","volume":"466","author":"Haus","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"10.25259\/SNI_479_2020\/ref-3","doi-asserted-by":"crossref","first-page":"28","DOI":"10.4103\/0019-5413.197517","article-title":"Comparison of occipitocervical and atlantoaxial fusion in treatment of unstable Jefferson fractures","volume":"51","author":"Hu","year":"2017","journal-title":"Indian J Orthop"},{"key":"10.25259\/SNI_479_2020\/ref-4","doi-asserted-by":"crossref","first-page":"345","DOI":"10.14444\/6047","article-title":"Direct fixation of C1 Jefferson fracture using C1 lateral mass screws: A case report","volume":"13","author":"Kumar","year":"2019","journal-title":"Int J Spine Surg"},{"key":"10.25259\/SNI_479_2020\/ref-5","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/j.otsr.2018.06.014","article-title":"C1 fracture: Analysis of consolidation and complications rates in a prospective multicenter series","volume":"104","author":"Lleu","year":"2018","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.25259\/SNI_479_2020\/ref-6","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 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