{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T14:37:35Z","timestamp":1783780655227,"version":"3.55.0"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:p>\u2713 The authors report the case of a 62-year-old woman who suffered an accidental fall and complained of severe neck pain and right C-7 radiculopathy. A right C6\u20137 facet fracture\u2013subluxation was diagnosed. Bone fragments impinged on the right C-7 nerve root at the neural foramen. The bilateral vertebral arteries (VAs) ascended at the anterior aspect of C-6 and C-5 and entered the transverse foramen at the C-4 level.<\/jats:p>\n<jats:p>Based on findings of anomalous VAs, the authors applied a pedicle screw (PS)\/rod system to effect surgical correction of the deformity. Intraoperatively, they successfully performed reduction of the subluxation, decompression of the impinged nerve root, and minimum single-segment fusion involving the placement of a PS\/rod system. After surgery, the patient's neurological deficit dramatically improved and spinal fusion was completed without any loss of deformity correction.<\/jats:p>\n<jats:p>Prior to surgery for cervical injuries, the possible presence of an abnormal VA course should be considered. Preoperative detection of anomalous VAs will affect decisions on the appropriate corrective surgery option in cases of cervical spine injuries.<\/jats:p>","DOI":"10.3171\/spi-07\/07\/065","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T13:17:51Z","timestamp":1201180671000},"page":"65-70","source":"Crossref","is-referenced-by-count":1,"title":["Traumatic C6\u20137 subluxation with anomalous course of vertebral arteries treated with pedicle screw\/rod fixation"],"prefix":"10.3171","volume":"7","author":[{"given":"Masashi","family":"Yamazaki","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takana","family":"Koshi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba Emergency Medical Center, Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikato","family":"Mannoji","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Okawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masao","family":"Koda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1 Suppl","key":"b1-0070065","series-title":"J Neurosurg","first-page":"19","article-title":"One-stage posterior decompression and reconstruction of the cervical spine by using pedicle screw fixation systems","volume":"90","author":"Abumi","year":"1999"},{"key":"b2-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1097\/00007632-200004150-00011","article-title":"Complications of pedicle screw fixation in reconstructive surgery of the cervical spine","volume":"25","author":"Abumi","year":"2000"},{"key":"b3-0070065","series-title":"J Bone Joint Surg Br","first-page":"977","article-title":"Unilateral facet dislocations and fracture-dislocations of the cervical spine","volume":"73","author":"Beyer","year":"1991"},{"issue":"1 Suppl","key":"b4-0070065","series-title":"Neurosurgery","first-page":"ONS20","article-title":"Anatomical variations of the V2 segment of the vertebral artery","volume":"59","author":"Bruneau","year":"2006"},{"key":"b5-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2552","DOI":"10.1097\/00007632-199411001-00010","article-title":"Repair of vertebral artery injury during anterior cervical decompression","volume":"19","author":"Golfinos","year":"1994"},{"key":"b6-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1097\/00007632-199602010-00014","article-title":"Posterior cervical arthrodesis and stabilization with a lateral mass plate. Clinical and computed tomographic evaluation of lateral mass screw placement and associated complications","volume":"21","author":"Graham","year":"1996"},{"key":"b7-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2442","DOI":"10.1097\/00007632-199511001-00013","article-title":"Complications of posterior cervical plating","volume":"20","author":"Heller","year":"1995"},{"key":"b8-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1097\/00007632-199705010-00009","article-title":"Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison","volume":"22","author":"Jones","year":"1997"},{"key":"b9-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2028","DOI":"10.1097\/00007632-200008150-00005","article-title":"Anterior fusion for rotationally unstable cervical spine fractures","volume":"25","author":"Lifeso","year":"2000"},{"key":"b10-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1097\/00007632-198701000-00004","article-title":"Unilateral facet dislocation of the cervical spine: an analysis of the results of treatment in 26 patients","volume":"12","author":"Rorabeck","year":"1987"},{"key":"b11-0070065","series-title":"Spine Trauma","first-page":"163","article-title":"Rationale and techniques of internal fixation in trauma of the cervical spine","author":"Roy-Camille","year":"1991"},{"key":"b12-0070065","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/0090-3019(94)90207-0","article-title":"Magnetic resonance imaging of C2 segmental type of vertebral artery","volume":"41","author":"Sato","year":"1994"},{"issue":"1 Suppl","key":"b13-0070065","series-title":"J Neurosurg","first-page":"19","article-title":"Outcome of 51 cases of unilateral locked cervical facets: interspinous braided cable for lateral mass plate fusion compared with interspinous wire and facet wiring with iliac crest","volume":"91","author":"Shapiro","year":"1999"},{"key":"b14-0070065","series-title":"J Bone Joint Surg Br","first-page":"410","article-title":"Vertebral artery injury during anterior decompression of the cervical spine. A retrospective review of ten patients","volume":"75","author":"Smith","year":"1993"},{"key":"b15-0070065","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1007\/BF00327604","article-title":"Anomalous atlantoaxial portions of vertebral and posterior inferior cerebellar arteries","volume":"27","author":"Tokuda","year":"1985"},{"key":"b16-0070065","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2452","DOI":"10.1097\/01.brs.0000184306.19870.a8","article-title":"Anomalous vertebral artery at the extraosseous and intraosseous regions of the craniovertebral junction: analysis by three-dimensional computed tomography angiography","volume":"30","author":"Yamazaki","year":"2005"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/7\/1\/article-p65.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/7\/1\/article-p65.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/7\/1\/article-p65.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T23:27:53Z","timestamp":1681601273000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/7\/1\/article-p65.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2007,7]]},"references-count":16,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/spi-07\/07\/065","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2007,7]]}}}