<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1684-1824</journal-id>
<journal-title><![CDATA[Revista Médica Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Med.Electrón.]]></abbrev-journal-title>
<issn>1684-1824</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Matanzas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1684-18242020000201735</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fusión occipito-cervical en fractura inestable de atlas tipo Jefferson.]]></article-title>
<article-title xml:lang="en"><![CDATA[Occipito-cervical fusion in unstable fracture of Jefferson type atlas.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra Benítez]]></surname>
<given-names><![CDATA[Enrique Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra Sánchez]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Socorro Izquierdo]]></surname>
<given-names><![CDATA[Yoel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Pérez]]></surname>
<given-names><![CDATA[Mairianny Quianella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Comandante Faustino Pérez  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Comandante Faustino Pérez  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>2</numero>
<fpage>1735</fpage>
<lpage>1742</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1684-18242020000201735&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1684-18242020000201735&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1684-18242020000201735&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las fracturas del Atlas representan el segundo tipo más común de lesiones de la columna cervical alta. Con este trabajo se persigue describir la fijación occipito-cervical como tratamiento de la fractura de atlas tipo Jefferson inestable. Se presenta paciente que sufre trauma raquimedular, después de aplicarle un minucioso examen físico y la tomografía axial computada de columna cervical se detecta una fractura tipo Jefferson de atlas con más de 7 mm de separación de sus fragmentos. Al ser esta una fractura inestable de la región cervical alta se decide realizar una fijación occipito-cervical como método de tratamiento de esta lesión. La evolución postquirúrgica del paciente transcurrió sin complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary Atlas fractures represent the second most common type of upper cervical spine injury. This work aims to describe the occipito-cervical fixation as a treatment for the unstable Jefferson-type atlas fracture. A patient suffering from spinal cord trauma is presented, after applying a thorough physical examination and the computed tomography of the cervical spine, a Jefferson type fracture of atlas with more than 7 mm of separation of its fragments is detected. As this is an unstable fracture of the upper cervical region, it was decided to perform an occipito-cervical fixation as a treatment method for this lesion. The postoperative evolution of the patient was uneventful.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fusión occipito-cervical]]></kwd>
<kwd lng="es"><![CDATA[fractura tipo Jefferson]]></kwd>
<kwd lng="es"><![CDATA[inestabilidad]]></kwd>
<kwd lng="en"><![CDATA[Occipito-cervical fusion]]></kwd>
<kwd lng="en"><![CDATA[Jefferson-type fracture]]></kwd>
<kwd lng="en"><![CDATA[instability]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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