Fractures of the first cervical vertebra (C1) represent approximately 7% of all acute cervical spine fractures. Frequently, the atlas will be fractured in combination with the axis (44% of cases). Treatment of isolated C1 fractures should be governed by the rules of Spence. The treatment of combination C1-C2 fractures is dictated by the type and severity of the C2 fracture. Experience with 57 cases of acute traumatic atlas fractures are reviewed. The long-term outcome from an atlas fracture is good (median follow-up, 40 months).
CITATION STYLE
Sonntag, V. K., Hadley, M. N., Dickman, C. A., & Browner, C. M. (1988). Atlas fractures: treatment and long-term results. Acta Neurochirurgica. Supplementum, 43, 63–68. https://doi.org/10.1007/978-3-7091-8978-8_15
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