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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Atlas burst fracture
Definitions
- Fracture(s) of C1 ring
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Fiedler N et al: Epidemiology and management of atlas fractures. Eur Spine J. ePub, 2020
- Buchmann N et al: C1-C2 posterior screw fixation in atlantoaxial fractures revisited: technical update based on 127 cases. Eur Spine J. 29(5):1036-42, 2019
- Ryken TC et al: Management of isolated fractures of the atlas in adults. Neurosurgery. 72 Suppl 2:127-31, 2013
- Munera F et al: Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma. Radiology. 263(3):645-60, 2012
- Kakarla UK et al: Atlas fractures. Neurosurgery. 66(3 Suppl):60-7, 2010
- Chen YF et al: Imaging of craniovertebral junction. Neuroimaging Clin N Am. 19(3):483-510, 2009
- Klimo P Jr et al: Cervical spine trauma in the pediatric patient. Neurosurg Clin N Am. 18(4):599-620, 2007
- Korinth MC et al: Jefferson fracture in a child--illustrative case report. Pediatr Neurosurg. 43(6):526-30, 2007
- Lustrin ES et al: Pediatric cervical spine: normal anatomy, variants, and trauma. Radiographics. 23(3):539-60, 2003
- Torreggiani WC et al: Musculoskeletal case 20. Jefferson fracture (C1 burst fracture). Can J Surg. 45(1):16, 65-6, 2002
- Connor SE et al: Congenital midline cleft of the posterior arch of atlas: a rare cause of symptomatic cervical canal stenosis. Eur Radiol. 11(9):1766-9, 2001
- Harris J Jr: The cervicocranium: its radiographic assessment. Radiology. 218(2):337-51, 2001
- Judd DB et al: Pediatric atlas fracture: a case of fracture through a synchondrosis and review of the literature. Neurosurgery. 46(4):991-4; discussion 994-5, 2000
- Sharma A et al: Partial aplasia of the posterior arch of the atlas with an isolated posterior arch remnant: findings in three cases. AJNR Am J Neuroradiol. 21(6): 1167-71, 2000
- Guiot B et al: Complex atlantoaxial fractures. J Neurosurg. 91(2 Suppl): 139-43, 1999
- Haakonsen M et al: Midline anterior and posterior atlas clefts may simulate a Jefferson fracture. A report of 2 cases. Acta Orthop Scand. 66(4):369-71, 1995
- Currarino G et al: Congenital defects of the posterior arch of the atlas: a report of seven cases including an affected mother and son. AJNR Am J Neuroradiol. 15(2):249-54, 1994
- Kesterson L et al: Evaluation and treatment of atlas burst fractures (Jefferson fractures). J Neurosurg. 75(2):213-20, 1991
- Lee C et al: Unstable Jefferson variant atlas fractures: an unrecognized cervical injury. AJNR Am J Neuroradiol. 12(6):1105-10, 1991
- Gehweiler JA Jr et al: Malformations of the atlas vertebra simulating the Jefferson fracture. AJR Am J Roentgenol. 140(6):1083-6, 1983
- Suss RA et al: Pseudospread of the atlas: false sign of Jefferson fracture in young children. AJR Am J Roentgenol. 140(6):1079-82, 1983
- Jefferson G: Fracture of the atlas vertebra. Report of four cases, and a review of those previously recorded. Br J Surg. 7(27):407-22, 1919
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Atlas burst fracture
Definitions
- Fracture(s) of C1 ring
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Fiedler N et al: Epidemiology and management of atlas fractures. Eur Spine J. ePub, 2020
- Buchmann N et al: C1-C2 posterior screw fixation in atlantoaxial fractures revisited: technical update based on 127 cases. Eur Spine J. 29(5):1036-42, 2019
- Ryken TC et al: Management of isolated fractures of the atlas in adults. Neurosurgery. 72 Suppl 2:127-31, 2013
- Munera F et al: Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma. Radiology. 263(3):645-60, 2012
- Kakarla UK et al: Atlas fractures. Neurosurgery. 66(3 Suppl):60-7, 2010
- Chen YF et al: Imaging of craniovertebral junction. Neuroimaging Clin N Am. 19(3):483-510, 2009
- Klimo P Jr et al: Cervical spine trauma in the pediatric patient. Neurosurg Clin N Am. 18(4):599-620, 2007
- Korinth MC et al: Jefferson fracture in a child--illustrative case report. Pediatr Neurosurg. 43(6):526-30, 2007
- Lustrin ES et al: Pediatric cervical spine: normal anatomy, variants, and trauma. Radiographics. 23(3):539-60, 2003
- Torreggiani WC et al: Musculoskeletal case 20. Jefferson fracture (C1 burst fracture). Can J Surg. 45(1):16, 65-6, 2002
- Connor SE et al: Congenital midline cleft of the posterior arch of atlas: a rare cause of symptomatic cervical canal stenosis. Eur Radiol. 11(9):1766-9, 2001
- Harris J Jr: The cervicocranium: its radiographic assessment. Radiology. 218(2):337-51, 2001
- Judd DB et al: Pediatric atlas fracture: a case of fracture through a synchondrosis and review of the literature. Neurosurgery. 46(4):991-4; discussion 994-5, 2000
- Sharma A et al: Partial aplasia of the posterior arch of the atlas with an isolated posterior arch remnant: findings in three cases. AJNR Am J Neuroradiol. 21(6): 1167-71, 2000
- Guiot B et al: Complex atlantoaxial fractures. J Neurosurg. 91(2 Suppl): 139-43, 1999
- Haakonsen M et al: Midline anterior and posterior atlas clefts may simulate a Jefferson fracture. A report of 2 cases. Acta Orthop Scand. 66(4):369-71, 1995
- Currarino G et al: Congenital defects of the posterior arch of the atlas: a report of seven cases including an affected mother and son. AJNR Am J Neuroradiol. 15(2):249-54, 1994
- Kesterson L et al: Evaluation and treatment of atlas burst fractures (Jefferson fractures). J Neurosurg. 75(2):213-20, 1991
- Lee C et al: Unstable Jefferson variant atlas fractures: an unrecognized cervical injury. AJNR Am J Neuroradiol. 12(6):1105-10, 1991
- Gehweiler JA Jr et al: Malformations of the atlas vertebra simulating the Jefferson fracture. AJR Am J Roentgenol. 140(6):1083-6, 1983
- Suss RA et al: Pseudospread of the atlas: false sign of Jefferson fracture in young children. AJR Am J Roentgenol. 140(6):1079-82, 1983
- Jefferson G: Fracture of the atlas vertebra. Report of four cases, and a review of those previously recorded. Br J Surg. 7(27):407-22, 1919
