{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T16:09:46Z","timestamp":1711037386156},"reference-count":14,"publisher":"Asian Spine Journal (ASJ)","issue":"6","license":[{"start":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T00:00:00Z","timestamp":1512604800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["asianspinejournal.org"],"crossmark-restriction":true},"short-container-title":["Asian Spine J"],"published-print":{"date-parts":[[2017,12,31]]},"abstract":"<sec><title>Study Design<\/title><p>Retrospective review.<\/p><\/sec><sec><title>Purpose<\/title><p>To describe a safe and effective surgical procedure for old distractive flexion (DF) injuries of the subaxial cervical spine.<\/p><\/sec><sec><title>Overview of Literature<\/title><p>Surgical treatment is required in old cases when a progression of the kyphotic deformity and\/or persistent neck pain and\/or the appearance of new neurological symptoms are observed. Since surgical treatment is more complicated and dangerous in old cases than in acute distractive-flexion cases, the indications for surgery and the selection of the surgical procedure must be carefully conducted.<\/p><\/sec><sec><title>Methods<\/title><p>To identify a safe and effective surgical procedure, the procedure selected, reason(s) for its selection, and associated neurological complications were investigated in 13 patients with old cervical DF injuries.<\/p><\/sec><sec><title>Results<\/title><p>No neurological complications were observed in nine patients (DF stage 2 or 3) who underwent the anterior-posterior-anterior (A-P-A) method and two patients (DF stage 1) who underwent the posterior method. It was initially planned that two patients (DF stage 2) who underwent the P-A method would be treated using the Posterior method alone; however, anterior discectomy was added to the procedure after the development of a severe spinal cord disorder.<\/p><\/sec><sec><title>Conclusions<\/title><p>The A-P-A method (anterior discectomy, posterior release and\/or partial facetectomy, reduction and instrumentation, anterior bone grafting) is considered to be a suitable surgical procedure for old cervical DF injuries.<\/p><\/sec><\/jats:p>","DOI":"10.4184\/asj.2017.11.6.935","type":"journal-article","created":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T07:23:25Z","timestamp":1513668205000},"page":"935-942","update-policy":"http:\/\/dx.doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Safe Surgical Procedure for Old Distractive Flexion Injuries of the Subaxial Cervical Spine"],"prefix":"10.31616","volume":"11","author":[{"given":"Osamu","family":"Kawano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Mori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itaru","family":"Yugue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayoshi","family":"Ueta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichiro","family":"Shiba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16744","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198200710-00001"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2002.97.3.0362"},{"key":"ref3","first-page":"1089","volume-title":"Cervical facet dislocation: management following delayed diagnosis","author":"Kahn","year":"1998"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112151-00019"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961080-00001"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200602000-00003"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.12.2009.2525"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318272f345"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200109010-00021"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0350-8"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318175c2fb"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1177\/230949901101900314"},{"key":"ref13","first-page":"212","volume-title":"Management of neglected cervical spine dislocation: a study of six cases","author":"Goni","year":"2013"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200106150-00009"}],"container-title":["Asian Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/asianspinejournal.org\/upload\/pdf\/asj-11-935.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/asianspinejournal.org\/journal\/view.php?doi=10.4184\/asj.2017.11.6.935","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.asianspinejournal.org\/upload\/pdf\/asj-11-935.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T02:01:20Z","timestamp":1596506480000},"score":1,"resource":{"primary":{"URL":"http:\/\/asianspinejournal.org\/journal\/view.php?doi=10.4184\/asj.2017.11.6.935"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,31]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"URL":"https:\/\/doi.org\/10.4184\/asj.2017.11.6.935","relation":{},"ISSN":["1976-1902","1976-7846"],"issn-type":[{"value":"1976-1902","type":"print"},{"value":"1976-7846","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,31]]},"assertion":[{"value":"2016-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-07","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}