{"id":"https://openalex.org/W7128375943","doi":"https://doi.org/10.48620/94509","title":"Controversies in management of floating lateral mass fractures of subaxial cervical spine: a narrative review.","display_name":"Controversies in management of floating lateral mass fractures of subaxial cervical spine: a narrative review.","publication_year":null,"publication_date":null,"ids":{"openalex":"https://openalex.org/W7128375943","doi":"https://doi.org/10.48620/94509"},"language":"en","primary_location":{"id":"doi:10.48620/94509","doi":"https://doi.org/10.48620/94509","is_oa":true,"landing_page_url":"https://doi.org/10.48620/94509","pdf_url":null,"source":{"id":"https://openalex.org/S7407053152","display_name":"Open Access CRIS of the University of Bern","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"review","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48620/94509","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016642316","display_name":"Ratko Yurac Barrientos","orcid":"https://orcid.org/0000-0003-3603-6294","observed_orcids":["https://orcid.org/0000-0003-3603-6294"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yurac, Ratko","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125389451","display_name":"Andrei Joaquim","orcid":"https://orcid.org/0000-0003-2645-0483","observed_orcids":["https://orcid.org/0000-0003-2645-0483"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joaquim, Andrei","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021239137","display_name":"Sebastian Frederick Bigdon","orcid":"https://orcid.org/0000-0002-4649-0610","observed_orcids":["https://orcid.org/0000-0002-4649-0610"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bigdon, Sebastian","raw_affiliation_strings":["University Clinic for Orthopedic Surgery and Traumatology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Clinic for Orthopedic Surgery and Traumatology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123305564","display_name":"Mohamed M. Aly","orcid":"https://orcid.org/0000-0001-5221-8288","observed_orcids":["https://orcid.org/0000-0001-5221-8288"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aly, Mohamed M","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047149027","display_name":"Juan Ignacio Cirillo","orcid":"https://orcid.org/0000-0001-6937-5634","observed_orcids":["https://orcid.org/0000-0001-6937-5634"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cirillo, Ignacio","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030565222","display_name":"Gaurav Raj Dhakal","orcid":"https://orcid.org/0000-0002-6227-3245","observed_orcids":["https://orcid.org/0000-0002-6227-3245"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dhakal, Gaurav","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060867652","display_name":"Klaus John Schnake","orcid":"https://orcid.org/0000-0003-3118-0924","observed_orcids":["https://orcid.org/0000-0003-3118-0924"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Schnake, Klaus","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026167360","display_name":"Richard Jackson Bransford","orcid":"https://orcid.org/0000-0003-2293-5774","observed_orcids":["https://orcid.org/0000-0003-2293-5774"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bransford, Richard","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125387045","display_name":"Gregory D. Schroeder","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Schroeder, Gregory","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061981254","display_name":"Mohammad Mostafa El-Sharkawi","orcid":"https://orcid.org/0000-0001-6177-7145","observed_orcids":["https://orcid.org/0000-0001-6177-7145"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"El-Sharkawi, Mohammad","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5113699153","display_name":"Philipp Schleicher","orcid":"https://orcid.org/0000-0002-3967-6943","observed_orcids":["https://orcid.org/0000-0002-3967-6943"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Schleicher, Philipp","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.96774194,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12249","display_name":"Veterinary Orthopedics and Neurology","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3404","display_name":"Small Animals"},"field":{"id":"https://openalex.org/fields/34","display_name":"Veterinary"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/subaxial-cervical-spine","display_name":"subaxial cervical spine","score":0.8690000176429749},{"id":"https://openalex.org/keywords/cervical-spine-fractures","display_name":"cervical spine fractures","score":0.453000009059906},{"id":"https://openalex.org/keywords/spinal-instability","display_name":"spinal instability","score":0.7129999995231628},{"id":"https://openalex.org/keywords/anterior-cervical-discectomy-and-fusion","display_name":"anterior cervical discectomy and fusion","score":0.8849999904632568},{"id":"https://openalex.org/keywords/surgical-fixation","display_name":"surgical fixation","score":0.5540000200271606},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.8690000176429749},{"id":"https://openalex.org/keywords/posterior-ligamentous-complex-injury","display_name":"posterior ligamentous complex injury","score":0.9210000038146973},{"id":"https://openalex.org/keywords/intervertebral-disc-injury","display_name":"intervertebral disc injury","score":0.9480000138282776},{"id":"https://openalex.org/keywords/dynamic-radiographs","display_name":"dynamic radiographs","score":0.6309999823570251},{"id":"https://openalex.org/keywords/ct-angiography","display_name":"CT angiography","score":0.8840000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8917999863624573},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.5547000169754028},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.5421000123023987},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.5228000283241272},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4713999927043915},{"id":"https://openalex.org/C3020177316","wikidata":"https://www.wikidata.org/wiki/Q6495630","display_name":"Lateral mass","level":3,"score":0.45750001072883606},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.4255000054836273},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.38769999146461487},{"id":"https://openalex.org/C2780904754","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative management","level":2,"score":0.3709000051021576},{"id":"https://openalex.org/C2777604421","wikidata":"https://www.wikidata.org/wiki/Q2303951","display_name":"Myelopathy","level":3,"score":0.3596999943256378},{"id":"https://openalex.org/C2780660378","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Internal fixation","level":2,"score":0.35679998993873596},{"id":"https://openalex.org/C2781430139","wikidata":"https://www.wikidata.org/wiki/Q4771328","display_name":"Anterior cervical discectomy and fusion","level":3,"score":0.35670000314712524},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.3327000141143799},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.3059999942779541},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.3003999888896942},{"id":"https://openalex.org/C2776008035","wikidata":"https://www.wikidata.org/wiki/Q3029776","display_name":"Discectomy","level":3,"score":0.29269999265670776},{"id":"https://openalex.org/C3018239782","wikidata":"https://www.wikidata.org/wiki/Q502781","display_name":"Intervertebral disk","level":3,"score":0.28859999775886536},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.28060001134872437},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.2777000069618225},{"id":"https://openalex.org/C2780375110","wikidata":"https://www.wikidata.org/wiki/Q770609","display_name":"Spinal fusion","level":2,"score":0.26820001006126404},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.2615000009536743},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2590000033378601},{"id":"https://openalex.org/C2985379065","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical spine","level":2,"score":0.2587999999523163},{"id":"https://openalex.org/C2779753412","wikidata":"https://www.wikidata.org/wiki/Q39888","display_name":"Ligament","level":2,"score":0.2563999891281128}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48620/94509","doi":"https://doi.org/10.48620/94509","is_oa":true,"landing_page_url":"https://doi.org/10.48620/94509","pdf_url":null,"source":{"id":"https://openalex.org/S7407053152","display_name":"Open Access CRIS of the University of Bern","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.48620/94509","doi":"https://doi.org/10.48620/94509","is_oa":true,"landing_page_url":"https://doi.org/10.48620/94509","pdf_url":null,"source":{"id":"https://openalex.org/S7407053152","display_name":"Open Access CRIS of the University of Bern","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"score":0.8371999859809875,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"This":[0],"narrative":[1],"review":[2],"examines":[3],"floating":[4],"lateral":[5,63],"mass":[6],"(F3)":[7],"fractures":[8,47,171],"of":[9,70,101,141],"the":[10,34,56,123,129,139],"subaxial":[11],"cervical":[12,118],"spine,":[13],"uncommon":[14],"but":[15],"clinically":[16],"relevant":[17],"injuries":[18],"that":[19],"are":[20,96],"frequently":[21,125],"under-recognized.":[22],"A":[23],"comprehensive":[24],"literature":[25],"search":[26],"was":[27],"conducted":[28],"in":[29,67,76,166,181,189],"PubMed,":[30],"Embase,":[31],"LILACS,":[32],"and":[33,43,52,59,90,120,138,146,153,158,197],"Cochrane":[35],"Library":[36],"to":[37],"identify":[38],"studies":[39],"published":[40],"between":[41],"1990":[42],"May":[44],"2025.":[45],"These":[46],"result":[48],"from":[49],"combined":[50,136],"pedicle":[51],"lamina":[53],"disruption,":[54],"separating":[55],"articular":[57],"processes":[58],"creating":[60],"a":[61],"\"floating\"":[62],"mass.":[64],"Despite":[65],"advances":[66],"imaging,":[68],"assessment":[69],"mechanical":[71],"instability":[72,110],"remains":[73,144],"controversial,":[74],"particularly":[75],"minimally":[77],"displaced":[78],"injuries.":[79],"Magnetic":[80],"resonance":[81],"imaging":[82],"is":[83,106,114,147,179],"essential":[84],"for":[85],"identifying":[86],"associated":[87,98],"intervertebral":[88],"disc":[89],"posterior":[91],"ligamentous":[92],"complex":[93],"injuries,":[94],"which":[95],"strongly":[97],"with":[99,116,194],"failure":[100],"non-operative":[102],"treatment.":[103],"Surgical":[104,177],"management":[105,186],"commonly":[107],"indicated":[108],"when":[109],"or":[111,135],"neurological":[112],"compromise":[113],"present,":[115],"anterior":[117],"discectomy":[119],"fusion":[121],"being":[122],"most":[124,182],"reported":[126],"approach.":[127],"However,":[128],"optimal":[130],"strategy,":[131],"including":[132],"anterior,":[133],"posterior,":[134],"fixation":[137],"number":[140],"stabilized":[142],"levels,":[143],"debated":[145],"guided":[148],"by":[149],"fracture":[150],"morphology,":[151],"reducibility,":[152],"disco-ligamentous":[154],"involvement.":[155],"Dynamic":[156],"radiographs":[157],"computed":[159],"tomography":[160],"angiography":[161],"may":[162,187],"provide":[163],"complementary":[164],"information":[165],"selected":[167,191],"cases.":[168],"Overall,":[169],"these":[170],"should":[172],"be":[173],"considered":[174],"potentially":[175],"unstable.":[176],"stabilization":[178],"appropriate":[180],"patients,":[183],"whereas":[184],"conservative":[185],"succeed":[188],"carefully":[190],"stable":[192],"cases":[193],"close":[195],"clinical":[196],"radiographic":[198],"follow-up.":[199]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2026-02-10T00:00:00"}
