TY - JOUR
T1 - C1 fractures
T2 - a review of diagnoses, management options, and outcomes
AU - Mead, Loren B.
AU - Millhouse, Paul W.
AU - Krystal, Jonathan
AU - Vaccaro, Alexander R.
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - The atlas is subject to fracture under axial load, often due to traumatic injuries such as shallow dives and automobile accidents. These fractures account for 2–13 % of injuries to the cervical spine [Marcon RM et al. Clinics (Sao Paulo) 68(11):1455-61, 2013]. Fractures of the C1 vertebra are often difficult to diagnose, as there is often no neurological deficit or easily identifiable findings on radiographs. However, injuries to the atlas can be associated with vertebral artery injury and atlantoaxial or atlanto-occipital instability, making prompt and accurate diagnosis imperative. A detailed understanding of the anatomy, inherent stability, and common injury patterns is essential for any surgeon treating spinal trauma. This chapter explores the diagnosis and management of C1 fractures, as well as outcomes after treatment.
AB - The atlas is subject to fracture under axial load, often due to traumatic injuries such as shallow dives and automobile accidents. These fractures account for 2–13 % of injuries to the cervical spine [Marcon RM et al. Clinics (Sao Paulo) 68(11):1455-61, 2013]. Fractures of the C1 vertebra are often difficult to diagnose, as there is often no neurological deficit or easily identifiable findings on radiographs. However, injuries to the atlas can be associated with vertebral artery injury and atlantoaxial or atlanto-occipital instability, making prompt and accurate diagnosis imperative. A detailed understanding of the anatomy, inherent stability, and common injury patterns is essential for any surgeon treating spinal trauma. This chapter explores the diagnosis and management of C1 fractures, as well as outcomes after treatment.
KW - Atlantoaxial instability
KW - Atlas fracture
KW - C1
KW - Jefferson fracture
KW - Transverse odontoid ligament
KW - Upper cervical spine
UR - http://www.scopus.com/inward/record.url?scp=84976394375&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84976394375&partnerID=8YFLogxK
U2 - 10.1007/s12178-016-9356-5
DO - 10.1007/s12178-016-9356-5
M3 - Review article
AN - SCOPUS:84976394375
SN - 1935-973X
VL - 9
SP - 255
EP - 262
JO - Current Reviews in Musculoskeletal Medicine
JF - Current Reviews in Musculoskeletal Medicine
IS - 3
ER -