View source for C1 isolated anterior arch fracture

==Background==
*Stable Cervical spine fracture
*Also called a Landells Atlas Type I fracture or plough fracture
*Rule out [[Jefferson fracture|burst fracture]]

{{Vertebral fractures and dislocations types}}

==Clinical Features==
*Axial compression, hyperextension, or lateral compression

==Differential Diagnosis==
{{Blunt neck trauma DDX}}

==Diagnosis==
*CT test of choice to eval for associated fracture's
*MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer)

==Management==
*Hard collar for 6-12 weeks
**Neurosurgery may prefer Halo immobilization
*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]]

==Disposition==
*Usually discharge (if truly isolated) in consultation with neurosurgery

==See Also==
*[[Cervical spine injuries]]
*[[C-Spine X-Ray]]
*[[C1 isolated posterior arch fracture]]
*[[Jefferson fracture]]

==References==
*[http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries Orthobullets]
[[Category:Trauma]]
[[Category:Orthopedics]]