{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T20:35:48Z","timestamp":1780518948501,"version":"3.54.1"},"reference-count":3,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>The authors report the case of a patient who suffered a Jefferson fracture during a professional football game. The C-1 (atlas) fracture was widely displaced anteriorly, but the transverse ligament was intact. In an effort to enable a return to play and avoid intersegmental (C1\u20132) fusion, the patient underwent a transoral approach for open reduction and internal fixation of the fracture. The associated posterior ring fracture displacement widened after this procedure, and a subsequent posterior arthrodesis and fixation of the fracture site was performed 6 months later when the fracture failed to heal with rigid collar immobilization. The approach maintained the normal range of motion at the atlantoaxial and atlantooccipital joints, which would have been sacrificed by an atlantoaxial or occipitocervical fusion, as is traditionally performed. Ultimately, the patient decided not to return to the football field, but this approach could avoid the more significant loss of motion associated with atlantoaxial or occipitocervical fusion for unstable Jefferson fractures.<\/jats:p>","DOI":"10.3171\/2017.6.spine17274","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T15:02:55Z","timestamp":1512140575000},"page":"149-153","source":"Crossref","is-referenced-by-count":5,"title":["Motion-preserving, 2-stage transoral and posterior treatment of an unstable Jefferson fracture in a professional football player"],"prefix":"10.3171","volume":"28","author":[{"given":"Gerald E.","family":"Rodts","sequence":"first","affiliation":[{"name":"The Emory Orthopaedics & Spine Center, Emory University School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Griffin R.","family":"Baum","sequence":"additional","affiliation":[{"name":"The Emory Orthopaedics & Spine Center, Emory University School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fermin G.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Johns Creek ENT, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.","family":"Heller","sequence":"additional","affiliation":[{"name":"The Emory Orthopaedics & Spine Center, Emory University School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"E219","DOI":"10.1097\/BSD.0b013e31829a36c5","article-title":"Function-preserving reduction and fixation of unstable Jefferson fractures using a C1 posterior limited construct","volume":"27","author":"Hu Y","year":"2014","unstructured":"Hu Y, Xu RM, Albert TJ, Vaccoro AR, Zhao HY, Ma WH, : Function-preserving reduction and fixation of unstable Jefferson fractures using a C1 posterior limited construct. J Spinal Disord Tech 27:E219\u2013E225, 201410.1097\/BSD.0b013e31829a36c5"},{"key":"b2","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1097\/01.BRS.0000116984.42466.7E","article-title":"Transoral reduction and osteosynthesis C1 as a function-preserving option in the treatment of unstable Jefferson fractures","volume":"29","author":"Ruf M","year":"2004","unstructured":"Ruf M, Melcher R, Harms J: Transoral reduction and osteosynthesis C1 as a function-preserving option in the treatment of unstable Jefferson fractures. Spine (Phila Pa 1976) 29:823\u2013827, 200410.1097\/01.BRS.0000116984.42466.7E15087806"},{"key":"b3","series-title":"Zhongguo Gu Shang","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/BSD.0b013e31829a36c5","article-title":"[Transoral plate internal fixation for treatment of instability atlas fracture.]","volume":"26","author":"Sun SH","year":"2013","unstructured":"Sun SH, Fang JL, Ma WH, Liu GY: [Transoral plate internal fixation for treatment of instability atlas fracture.] Zhongguo Gu Shang 26:81\u201384, 2013 (Chinese)2361715110.1097\/BSD.0b013e31829a36c5"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/28\/2\/article-p149.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/28\/2\/article-p149.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/28\/2\/article-p149.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T23:59:59Z","timestamp":1681603199000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/28\/2\/article-p149.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":3,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2017.6.spine17274","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2018,2]]}}}