Occult congenital anomaly of the atlas presenting in the setting of acute trauma

Emergency Medicine Journal : EMJ
A W O'Sullivan, F McManus

Abstract

Congenital absence of the posterior arch of the atlas is rare. Its detection in the setting of acute trauma may be confusing and mimic a fracture. This case serves to highlight the adjunctive use of computed tomography in equivocal cases. Most patients can be managed conservatively, however operative treatment should be reserved for patients in whom atlanto-axial instability has been shown.

Citations

Oct 16, 2007·Journal of Neurosurgery. Spine·Mehmet SenogluVolker K H Sonntag
Jul 20, 2014·Forensic Science International : Synergy·Juan A Sanchis-GimenoVicente Martinez-Sanjuan
Sep 9, 2008·The American Journal of Emergency Medicine·Francisco Alvarez CaroFrancisco Alvarez Berciano
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