{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T05:31:50Z","timestamp":1739338310044,"version":"3.37.0"},"reference-count":10,"publisher":"Baishideng Publishing Group Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Orthop"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Surgical intervention is a critical treatment approach for symptomatic atlantoaxial dislocation. However, vertebral artery injury remains a significant challenge during such procedures. We present a case of successful treatment of atlantoaxial dislocation with concurrent vertebral artery injury using interlaminar screw technology, and review the relevant literature.<\/jats:p>\n          <jats:p>CASE SUMMARY<\/jats:p>\n          <jats:p>A 69-year-old female patient, with no history of trauma, was diagnosed with atlantoaxial dislocation based on X-ray, computed tomography (CT), and magnetic resonance imaging. Preoperative CT angiography (CTA) revealed vertebral artery developmental anomalies, and she underwent posterior cervical surgery. Postoperative follow-up showed improvement in the patient\u2019s clinical symptoms such as unstable walking and dizziness, as well as functional scores compared to pre-surgery. Intraoperative vertebral artery injury was successfully managed, and postoperative CTA review revealed no complications related to vascular damage.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Thorough preoperative evaluation, such as CTA imaging, and the surgeon\u2019s expertise in various spinal screw placement techniques are crucial for improving the success rate of atlantoaxial dislocation surgeries.<\/jats:p>","DOI":"10.5312\/wjo.v16.i2.104095","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:23:58Z","timestamp":1739319838000},"source":"Crossref","is-referenced-by-count":0,"title":["Atlantoaxial dislocation with vertebral artery anomaly: A case report"],"prefix":"10.5312","volume":"16","author":[{"given":"Ruo-Hui","family":"Tang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Yin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhao-Wen","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"B1","unstructured":"1 Wang SL, Tian YL, Xu NF, Li WS. [Clinical effect of posterior hybrid cervical fixations in the treatment of atlantoaxial instability or dislocation]. Zhongguo Jizhujisui Zazhi 2020; 338-345"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.04.058"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2014.8.6.777"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181bb4f21"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b4fb8b"},{"key":"B6","unstructured":"Wu XG, Huang J, Jiang YQ, Guo WK, Wang J. [Anatomical study on vertebral artety and its application in transpedicle screw fixation for upper cervical vetebrae]. Zhongguo Gu Shang 2014; 772-774"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2779-4"},{"key":"B8","unstructured":"Chen CQ, Feng WQ, Cheng W, Orthopedics DO. [Vertebral artery injury of upper cervical spine fracture with posterior internal fixation]. Zhongguo Jizhujisui Zazhi 2018; 607-612"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000244614.84685.c2"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.05.154"}],"container-title":["World Journal of Orthopedics"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v16\/i2\/104095.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v16\/i2\/104095.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:24:28Z","timestamp":1739319868000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v16\/i2\/104095.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":10,"journal-issue":{"issue":"2"},"alternative-id":["104095"],"URL":"https:\/\/doi.org\/10.5312\/wjo.v16.i2.104095","relation":{},"ISSN":["2218-5836"],"issn-type":[{"value":"2218-5836","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,18]]}}}