{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:17:25Z","timestamp":1773148645546,"version":"3.50.1"},"reference-count":23,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:p>\u2713 Atlantoaxial fixation in which C1\u20132 screw\u2013rod fixation is performed is a relatively new method. Because reports about this technique are rather scant, little is known about its associated complications. In this report the authors introduce hypoglossal nerve palsy as a complication of this novel posterior atlantoaxial stabilization method.<\/jats:p>\n<jats:p>A 67-year-old man underwent a C1\u20132 screw\u2013rod fixation for persistent neck pain resulting from a Type 2 odontoid fracture that involved disruption of the transverse atlantal ligament. Posterior instrumentation in which a C-1 lateral mass screw and C-2 pedicle screw were placed was performed. Postoperatively, the patient suffered dysphagia with deviation of the tongue to the left side. At the 4-month follow-up examination, bone fusion was noted on plain x-ray studies of the cervical spine. His hypoglossal nerve palsy resolved completely 2 months postoperatively.<\/jats:p>\n<jats:p>To the authors\u2019 knowledge, this is the first report in the literature of hypoglossal nerve palsy following C1\u20132 screw\u2013rod fixation. The hypoglossal nerve is one of the structures that can be damaged during C-1 lateral mass screw placement.<\/jats:p>","DOI":"10.3171\/spi.2006.5.1.83","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T13:13:45Z","timestamp":1201180425000},"page":"83-85","source":"Crossref","is-referenced-by-count":61,"title":["Hypoglossal nerve palsy after posterior screw placement on the C-1 lateral mass"],"prefix":"10.3171","volume":"5","author":[{"given":"Jae Taek","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, St. Vincent Hospital, the Catholic University of Korea, Suwon; and Department of Neurosurgery, Kangnam St. Mary\u2019s Hospital, the Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St. Vincent Hospital, the Catholic University of Korea, Suwon; and Department 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