ArticleIndian journal of orthopaedics
Comparison of occipitocervical and atlantoaxial fusion in treatment of unstable Jefferson fractures.
Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Perioperative outcomes and technical and patient-reported success of rigid occipitocervical fusions in adults: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Pooled it
- Clinical study of three internal fixation systems via transoral approach for motor function preservation in atlas fractures.Journal of orthopaedic surgery and research · 2026Article
- Temporary Fusionless Occipitocervical Fixation of Bilateral Occipital Condylar Avulsion Fractures in an Adult.Journal of orthopaedic case reports · 2026Article
- Motion preserving C1 ring lateral mass screw fixation with transverse rod for isolated unstable Jefferson fracture of atlas vertebra: a multicentric study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- The Risk of Dysphagia After Short-Segment Posterior Occipital-C2 Fusion versus C1-C2 Cervical Fusion: A Retrospective Cohort Study.World neurosurgery · 2025Article
- More postoperative complications and revision surgery after occipitocervical fusion than after atlantoaxial fusion: a retrospective multicenter cohort study.Asian spine journal · 2025Article
- Article
- Isolated C1 arch fractures: C1-2 fusion vs. C1 osteosynthesis - surgical strategies for potentially unstable injuries.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Review
- Motion-preserving C1 lateral mass fixation with compression for unstable Jefferson fracture of the Atlas: technical note.Neurosurgical review · 2024Article
- Combined Deficit of the Four Lower Cranial Nerves also Known as the Syndrome of Collet-Sicard: A Systematic Review and Meta-analysis.Asian journal of neurosurgery · 2024Review
- The use of a novel reduction plate in transoral anterior C1-ring osteosynthesis for unstable atlas fractures.Frontiers in surgery · 2023Article
- Novel Approach for Posterior C1 Double-door Laminoplasty with Atlantoaxial Fusion in Progressive Cervical Myelopathy: A Case Report.Journal of orthopaedic case reports · 2022Article
- Occipitocervical Revision Surgery Using the Bicortical Screw and Plate System for Failed Craniovertebral Junction Stabilization.Orthopaedic surgery · 2022Article
- Treatment of Upper Cervical Spinal Cord Injury (Unstable C1-C2) by Direct Visualization and Nailing Technique and the Advantages of Early MRI.Journal of healthcare engineering · 2021Article
- Postoperative complication rates and hazards-model survival analysis of revision surgery following occipitocervical and atlanto-axial fusion.North American Spine Society journal · 2020Article
- Motion-Preserving Navigated Primary Internal Fixation of Unstable C1 Fractures.Asian spine journal · 2020Article
- Observational
- Occipitocervical fusion complicated with cerebellar abscess: a case report.BMC musculoskeletal disorders · 2020Article
- Does isolated atlantoaxial fusion result in better clinical outcome compared to occipitocervical fusion?Journal of orthopaedic surgery and research · 2020Article
- Hemiparesis resulting from an unusual C1 fracture: A case report and literature review.Surgical neurology international · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundControversy exists regarding the management of unstable Jefferson fractures, with some surgeons performing reduction and immobilization of the patient in a halo vest and others performing open reduction and internal fixation. This study compares the clinical and radiological outcome parameters between posterior atlantoaxial fusion (AAF) and occipitocervical fusion (OCF) constructs in the treatment of the unstable atlas fracture. MATERIALS AND
methods68 consecutive patients with unstable Jefferson fractures treated by AAF or OCF between October 2004 and March 2011 were included in this retrospective evaluation from institutional databases. The authors reviewed medical records and original images. The patients were divided into two surgical groups treated with either AAF (
resultsFive patients with incomplete paralysis (7.4%) demonstrated postoperative improvement by more than 1 grade on the American Spinal Injury Association impairment scale. The JOA score of the AAF group improved from 12.5 ± 3.6 preoperatively to 15.7 ± 2.3 postoperatively, while the JOA score of the OCF group improved from 11.2 ± 3.3 preoperatively to 14.8 ± 4.2 postoperatively. The VAS score of AAF group decreased from 4.8 ± 1.5 preoperatively to 1.0 ± 0.4 postoperatively, the VAS score of the OCF group decreased from 5.4 ± 2.2 preoperatively to 1.3 ± 0.9 postoperatively.
conclusionsThe OCF or AAF combined with short-term external immobilization can establish the upper cervical stability and prevent further spinal cord injury and nerve function damage.
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