Abstract
An unusual case of partial aplasia of the posterior arc of the atlas, with persistent posterior tubercle, is presented in a previously healthy individual who sustained a neck trauma. Both plain X-rays and CT findings specified the lesion. Dynamic X-rays in flexion and extension showed an immobile posterior tubercle. The patient did not develop neurological symptoms at any stage during follow-up (1 year).
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Connor SEJ, Chandler C, Robinson S, Jarosz JM (2001) Congenital midline cleft of the posterior arch of atlas: a rare cause of symptomatic cervical canal stenosis. Eur Radiol 11:1766–1769
Currarino G, Rollins N, Diehl JT (1994) Congenital defects of the posterior arch of the atlas: a report of seven cases including an affected mother and son. AJNR Am J Neuroradiol 15:249–254
Gangopadhyay S, Mohammed A (2003) Posterior arch defects of the atlas: significance in trauma and literature review. Eur J Emerg Med 10:238–240
Geipel P (1995) Zur Kenntnis der Spaltbildung des Atlas und Epistropheus: Teil IV. Zentralbl Allg Pathol 94:19–84
Hosalkar H, Gerardi J, Shaw B (2001) Combined asymptomatic congenital anterior and posterior deficiency of the atlas. Pediatr Radiol 31:810–813
Klimo P Jr, Blumenthal DT, Couldwell WT (2003) Congenital partial aplasia of the posterior arch of the atlas causing myelopathy. Case report and review of the literature. Spine 28:E224–E228
Richardson EG, Boone SC, Reid RL (1975) Intermittent quadriplegia associated with a congenital anomaly of the posterior arch of atlas. J Bone Joint Surg Am 57: 853–854
Sharma A, Gaikwad SB, Deol PS, Mishra NK, Kale SS (2000) Partial aplasia of the posterior arc of the atlas with an isolated posterior arch remnant: findings in three cases. AJNR Am J Neuroradiol 21:1167–1171
Torriani M, Lourenco J (2002) Agenesis of the posterior arch of the atlas. Rev Hosp Clin Fac Med Sao Paulo 57:73–76
Von Torklus D, Gehle W (1972) The upper cervical spine. Grune and Stratton, New York
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Panagopoulos, A., Zouboulis, P., Athanaselis, E. et al. Aplasia of the posterior arc of the atlas with persistent posterior tubercle: a case report. Eur Spine J 14, 205–207 (2005). https://doi.org/10.1007/s00586-004-0789-y
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DOI: https://doi.org/10.1007/s00586-004-0789-y