{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:35:43Z","timestamp":1789799743658,"version":"4.0.1"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Chiari I malformation, a congenital disorder involving downward displacement of the cerebellar tonsils through the foramen magnum, is often treated surgically by performing suboccipital craniectomy and C-1 laminectomy. The authors report two cases in which fracture of the anterior atlantal arch occurred during the postoperative period following Chiari I decompression and C-1 laminectomy causing significant neck pain. The findings indicate that interruption of the integrity of the posterior arch of C-1, iatrogenically or otherwise, confers increased risk of anterior arch fracture. A C-1 fracture should therefore be considered in the differential diagnosis of posterior cervical pain in patients who have previously undergone decompression for Chiari I malformation.<\/jats:p>","DOI":"10.3171\/spi.2004.1.1.0137","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T16:01:59Z","timestamp":1241712119000},"page":"137-140","source":"Crossref","is-referenced-by-count":15,"title":["Anterior atlas fracture following suboccipital decompression for Chiari I malformation"],"prefix":"10.3171","volume":"1","author":[{"given":"Brian A.","family":"O'Shaughnessy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean A.","family":"Salehi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","doi-asserted-by":"crossref","first-page":"898","DOI":"10.2106\/00004623-199173060-00012","volume":"73","author":"Aronson DD","year":"1991","journal-title":"J Bone Joint Surg Am"},{"key":"b2","doi-asserted-by":"crossref","first-page":"713","DOI":"10.2106\/00004623-196749040-00013","volume":"49","author":"Cattell HS","year":"1967","journal-title":"J Bone Joint Surg Am"},{"key":"b3","first-page":"257","volume":"17","author":"Cleland J","year":"1883","journal-title":"J Anat Physiol"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.70.1.0045"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.71.2.0159"},{"key":"b6","first-page":"945","volume-title":"Textbook of Neurological Surgery: Principles and Practices.","volume":"1","author":"Ellenbogen RG","year":"2003"},{"key":"b7","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/00002517-199003000-00004","volume":"3","author":"Fowler JL","year":"1990","journal-title":"J Spinal Disord"},{"key":"b8","first-page":"39","volume":"4","author":"Gangemi M","year":"1982","journal-title":"Acta Neurol (Napoli)"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800072713"},{"key":"b10","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1136\/bmj.2.3473.153","volume":"2","author":"Jefferson G","year":"1927","journal-title":"Br Med J"},{"key":"b11","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/00007632-198805000-00002","volume":"13","author":"Landells CD","year":"1988","journal-title":"Spine"},{"key":"b12","first-page":"1105","volume":"12","author":"Lee C","year":"1991","journal-title":"AJNR"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199809150-00008"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199905000-00042"},{"key":"b15","doi-asserted-by":"crossref","first-page":"543","DOI":"10.2106\/00004623-197052030-00013","volume":"52","author":"Spence KF","year":"1970","journal-title":"J Bone Joint Surg Am"},{"key":"b16","first-page":"1743","volume-title":"Textbook of Neurological Surgery: Principles and Practices.","volume":"2","author":"Zubay GP","year":"2003"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/1\/1\/article-p137.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/1\/1\/article-p137.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T23:36:18Z","timestamp":1604705778000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/1\/1\/article-p137.xml"}},"subtitle":["Report of two cases"],"short-title":[],"issued":{"date-parts":[[2004,7]]},"references-count":16,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/spi.2004.1.1.0137","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2004,7]]}}}