{
    "abstract": "Atlas fractures often accompany traumatic dens fractures, but existing literature on the management of simultaneous atlantoaxial fractures is limited.\nWe examined all patients with traumatic dens fractures at our institution between 2008 and 2018. We used multivariable logistic regression and ordinal logistic regression to identify factors independently associated with presentation with a simultaneous atlas fracture, as well myelopathy severity, fracture nonunion, and selection for surgery.\nTwo hundred and eighty-two patients with traumatic dens fractures without subaxial fractures were identified, including 65 (22.8%) with simultaneous atlas fractures. The distribution of injury mechanisms differed between groups (\u03c7\nAmong patients with traumatic dens, patients who have simultaneous atlas fractures are a distinct subpopulation with respect to age, mechanism of injury, fracture morphology, and management. Traumatic dens fractures with simultaneous atlas fractures are independently associated with selection for OCF rather than posterior cervical fusion alone.",
    "authors": [
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Michael Brendan",
            "initials": "MB",
            "lastname": "Cloney"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Pavlos",
            "initials": "P",
            "lastname": "Texakalidis"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Anastasios G",
            "initials": "AG",
            "lastname": "Roumeliotis"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Vineeth",
            "initials": "V",
            "lastname": "Thirunavu"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Nathan A",
            "initials": "NA",
            "lastname": "Shlobin"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Kevin",
            "initials": "K",
            "lastname": "Swong"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Najib",
            "initials": "N",
            "lastname": "El Tecle"
        },
        {
            "affiliation": "Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.",
            "firstname": "Nader S",
            "initials": "NS",
            "lastname": "Dahdaleh"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright: \u00a9 2024 Journal of Craniovertebral Junction and Spine.",
    "doi": "10.4103/jcvjs.jcvjs_147_23",
    "journal": "Journal of craniovertebral junction & spine",
    "keywords": [
        "Atlantoaxial",
        "C1",
        "C2",
        "atlas",
        "dens",
        "fracture",
        "odontoid"
    ],
    "methods": null,
    "publication_date": "2024-04-22",
    "pubmed_id": "38644924\n1541497\n11057531\n34284160\n2909687\n3173661\n2045393\n9280020\n2809718\n20173529\n23417187\n3558716\n5023079\n18184482\n4814394\n30485211\n36103357\n10806499\n29258944\n36083183\n37306435\n4434035\n37393701\n9619935\n15568528\n28720985\n22295381\n33309644\n35987045\n3213659\n7998495\n11707712\n11844283\n30193984\n23595072\n24080191\n7609975\n28182084",
    "results": "Two hundred and eighty-two patients with traumatic dens fractures without subaxial fractures were identified, including 65 (22.8%) with simultaneous atlas fractures. The distribution of injury mechanisms differed between groups (\u03c7",
    "title": "The demographic, clinical, and management differences between traumatic dens fracture patients with and without simultaneous atlas fractures.",
    "xml": "<Element 'PubmedArticle' at 0x788505190a40>"
}