Publication Name	World Journal of Orthopedics
Manuscript ID	119240
Country	Saudi Arabia

Category	Orthopedics
Manuscript Type	Case Report
Article Title	Motion preserving fixation of an unstable Jefferson fracture using C1 lateral mass screws and rods: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Hadi Alaa Alhamal, Sarah Alhaddad, Bayan Alsaleh, Lina Güneş, Abdulaziz Alzawad, Leen Azzam, Mohammed Alhabib and Hussain Alhamal
Funding Agency and Grant Number
Corresponding Author	Hadi Alaa Alhamal, Department of Orthopedic Surgery, King Fahad Hospital of the University, Bashar Ibn Burd St, Al Khubar 34445, Ash Sharqīyah, Saudi Arabia. hadialhamal@gmail.com
Key Words	C1 vertebra; Transverse atlantal ligament; Lateral mass screws; Direct fixation; Unstable fracture; Case report
Core Tip	Unstable Jefferson fractures are traditionally managed with fusion-based techniques that sacrifice atlantoaxial motion. This case report highlights a motion-preserving surgical approach using C1 (atlas) fixation with lateral mass screws and rods, achieving fracture union while maintaining cervical mobility. To our knowledge, this represents the first reported case in Saudi Arabia managed with this technique, providing regional evidence supporting motion-preserving strategies for selected unstable atlas fractures.
Citation	Alhamal HA, Alhaddad S, Alsaleh B, Güneş L, Alzawad A, Azzam L, Alhabib M, Alhamal H. Motion preserving fixation of an unstable Jefferson fracture using C1 lateral mass screws and rods: A case report. World J Orthop 2026; In press

Received	2026-01-22 02:15
Peer-Review Started	2026-01-22 02:15
First Decision by Editorial Office Director	2026-02-04 09:48
Return for Revision	2026-02-04 09:48
Revised	2026-02-16 18:47
Publication Fee Transferred	2026-02-20 16:14
Second Decision by Editor	2026-03-18 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-18 07:26
Articles in Press	2026-03-18 07:26
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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