{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:02:24Z","timestamp":1787025744485,"version":"build-2736575974"},"reference-count":7,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2016,6]]},"abstract":"\n OBJECTIVE<\/jats:title>\n Subaxial cervical instability in very young or small-for-age children is uncommon and typically arises from trauma or skeletal dysplasia. Various operative techniques have been used to achieve stabilization in pediatric patients with evidence of instability, including anterior, posterior, and combined approaches. In this study, the authors report their results with subaxial cervical instability in this patient population treated using a static single-screw anterior cervical plate (ACP) system and allograft fusion.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n In a retrospective chart review, the authors identified all patients 6 years of age or younger who underwent an anterior cervical fusion procedure using a static single-screw ACP system either as a stand-alone construct or as part of an anterior-posterior stabilization procedure. Reasons for fusion included trauma, tumor, and congenital anomalies.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Five patients 6 years of age or younger underwent anterior cervical fusion using a static single-screw system during the 19-year study period. Follow-up ranged from 12 to 51 months (mean 26.8 months). Two patients underwent repeat surgery, one 7 days after and the other 21 months after their initial procedure. At last follow-up, a mean vertical growth of 22.8% was seen across the fused segments, with no evidence of kyphotic or lordotic abnormalities.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n In very young or small-for-age children, the use of a static single-screw ACP system appears to be a safe and effective option to manage subaxial cervical instability. Bony fusion and continued longitudinal growth occur within the fused segments, with no evidence of long-term cervical malalignment.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2015.10.spine15537","type":"journal-article","created":{"date-parts":[[2016,2,19]],"date-time":"2016-02-19T10:01:49Z","timestamp":1455876109000},"page":"892-896","source":"Crossref","is-referenced-by-count":18,"title":["Management of subaxial cervical instability in very young or small-for-age children using a static single-screw anterior cervical plate: indications, results, and long-term follow-up"],"prefix":"10.3171","volume":"24","author":[{"given":"Sarah T.","family":"Garber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas L.","family":"Brockmeyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1 Suppl","key":"b1-spine15537","series-title":"J Neurosurg","first-page":"36","article-title":"Selection of a rigid internal fixation construct for stabilization at the craniovertebral junction in pediatric patients","volume":"107","author":"Anderson","year":"2007"},{"key":"b2-spine15537","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1159\/000120893","article-title":"Pediatric cervical spine instrumentation using screw fixation","volume":"22","author":"Brockmeyer","year":"1995"},{"key":"b3-spine15537","series-title":"J Pediatr Surg","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1053\/jpsu.2001.25665","article-title":"Cervical spine injuries in children: a review of 103 patients treated consecutively at a level 1 pediatric trauma center","volume":"36","author":"Brown","year":"2001"},{"issue":"1 Suppl","key":"b4-spine15537","series-title":"J Neurosurg","first-page":"12","article-title":"Pediatric cervical spine injuries: report of 102 cases and review of the literature","volume":"92","author":"Eleraky","year":"2000"},{"key":"b5-spine15537","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E371","DOI":"10.1097\/BRS.0b013e318060cca9","article-title":"Short-term comparison of cervical fusion with static and dynamic plating using computerized motion analysis","volume":"32","author":"Goldberg","year":"2007"},{"key":"b6-spine15537","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"529","DOI":"10.3171\/2009.2.PEDS08149","article-title":"Screw fixation of the upper cervical spine in the pediatric population. Clinical article","volume":"3","author":"Haque","year":"2009"},{"key":"b7-spine15537","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"397","DOI":"10.3171\/2012.8.SPINE12770","article-title":"Outcomes of instrumented fusion in the pediatric cervical spine","volume":"17","author":"Hwang","year":"2012"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/24\/6\/article-p892.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/24\/6\/article-p892.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/24\/6\/article-p892.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T17:57:14Z","timestamp":1681581434000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/24\/6\/article-p892.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":7,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2015.10.spine15537","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2016,6]]}}}