{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T10:04:42Z","timestamp":1779530682033,"version":"3.53.1"},"reference-count":100,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>Elderly patients with diffuse idiopathic skeletal hyperostosis are at high risk for falls, and 3-column unstable fractures present multiple challenges. Unstable fractures across the cervicothoracic junction are associated with significant morbidity and require fixation, which is commonly performed through a posterior open or percutaneous approach. The authors describe a novel, navigated, mini-open anterior approach using intraoperative cone-beam CT scanning to place lag screws followed by an anterior plate in a 97-year-old patient. This approach is less invasive and faster than an open posterior approach and can be considered as an option for management of cervicothoracic junction fractures in elderly patients with high perioperative risk profile who cannot tolerate being placed prone during surgery.<\/jats:p>","DOI":"10.3171\/2017.5.focus17179","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T03:36:48Z","timestamp":1501558608000},"page":"E4","source":"Crossref","is-referenced-by-count":2,"title":["Mini-open anterior approach for cervicothoracic junction fracture: technical note"],"prefix":"10.3171","volume":"43","author":[{"given":"Junichi","family":"Ohya","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Bray","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Emory University Medical Center, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen T.","family":"Magill","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd D.","family":"Vogel","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigurd","family":"Berven","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, University of California, San Francisco, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen V.","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Spine (Phila Pa 1976)","first-page":"1505","article-title":"Biomechanics of stabilization after cervicothoracic compression-flexion injury","volume":"30","author":"Ames CP","year":"2005","unstructured":"Ames CP, Bozkus MH, Chamberlain RH, Acosta FL Jr, Papadopoulos SM, Sonntag VKH, : Biomechanics of stabilization after cervicothoracic compression-flexion injury. 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