{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T20:42:57Z","timestamp":1772311377323,"version":"3.50.1"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:p>Jefferson fractures of the immature spine have received little attention in the study of pediatric spinal trauma. Fractures through synchondroses are a possibility in the immature spine, in addition to fractures through osseous portions of the vertebral ring, and they create opportunities for misinterpretation of diagnostic imaging. The authors describe 3 examples of Jefferson fractures in young children. All 3 cases featured fractures through an anterior synchondrosis in association with persistence of the posterior synchondrosis or a fracture of the posterior arch. The possibility of a Jefferson fracture should be considered for any child presenting with neck pain, cervical muscle spasm, or torticollis following a head injury, despite a seemingly normal cervical spine study. Jefferson fractures in young children are probably much more common than previously recognized.<\/jats:p>","DOI":"10.3171\/2008.10.peds08243","type":"journal-article","created":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T17:08:54Z","timestamp":1230916134000},"page":"15-19","source":"Crossref","is-referenced-by-count":21,"title":["Jefferson fractures of the immature spine"],"prefix":"10.3171","volume":"3","author":[{"given":"Nicholas","family":"AuYong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Piatt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0030015","series-title":"J Pediatr Orthop B","first-page":"201","article-title":"Posterior arch bifocal fracture of the atlas vertebra: a variant of Jefferson fracture","volume":"10","author":"Abuamara","year":"2001"},{"key":"b2-0030015","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1007\/s00381-004-1058-4","article-title":"The misdiagnosis of acute cervical spine injuries and fractures in infants and children: the 12-year experience of a level I pediatric and adult trauma center","volume":"21","author":"Avellino","year":"2005"},{"key":"b3-0030015","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1148\/59.5.712","article-title":"The normal cervical spine in infants and children","volume":"59","author":"Bailey","year":"1952"},{"key":"b4-0030015","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E47","DOI":"10.1097\/00007632-200201150-00021","article-title":"Isolated anterior arch fracture of the atlas: child case report","volume":"27","author":"Bayar","year":"2002"},{"key":"b5-0030015","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1832","DOI":"10.1097\/00007632-199809010-00005","article-title":"A biomechanical study of Jefferson fractures","volume":"23","author":"Beckner","year":"1998"},{"key":"b6-0030015","series-title":"Clin Orthop Relat Res","first-page":"220","article-title":"Atlantal fracture in a child through congenital anterior and posterior arch defects. 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